Location: 1225 W Gannon AVE ZEBULON, NC 27597 Facility Type: Nursing Homes Inspection Date: 08/28/2024
Score: 95
#
Comments
Points
1.
The carpeting throughout has a lot of stains in it and needs better cleaning.- Floors and carpets shall be clean and in good repair.- Please have the carpets cleaned to remove some of the stains in them.
2.0
2.
The walls throughout have some peeling paint where furniture has rubbed against them. In room 306 the handsink is peeling from the wall.- Walls and ceilings shall be clean and in good repair.- Please repaint the walls.
1.0
16.
In multiple rooms the hot water was above 116 degrees F.- Hot water shall be between 105 F and 116 F.- Please adjust the water temperature throughout. THIS IS A REPEAT ITEM. IF NOT CORRECTED BY NEXT INSPECTION, FULL (3) POINTS WILL BE DEDUCTED.
1.5
32.
Many chairs in the kitchen area and lounge areas have stains in them that need cleaned. In the salon, the black chair is heavily damaged with tears and rips on it.- Furnishings shall be clean and in good repair.- Please replace or clean the chairs/furnishings that are damaged.
0.5
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 1225 W Gannon AVE ZEBULON, NC 27597 Facility Type: Nursing Homes Inspection Date: 12/08/2023
Score: 96
#
Comments
Points
1.
The carpeting throughout has a lot of stains in it and needs better cleaning.- Floors and carpets shall be clean and in good repair.- Please have the carpets cleaned to remove some of the stains in them.
1.0
2.
The walls throughout have some peeling paint where furniture has rubbed against them. In some storage areas and the hallway, the ceiling tiles are damaged from a previous water leak and need replaced.- Walls and ceilings shall be clean and in good repair.- Please replace the damaged tiles and repaint the damaged walls.
1.0
16.
Hot water on one side of the building was only reaching 97, and the other side of the building the water was around 127 degrees F.- How water shall be between 105 F and 116 F.- Please adjust the water throughout the building in the 300 wing and 400 wing.
1.5
32.
Many chairs in the kitchen area and lounge areas have stains in them that need cleaned. In the salon, the black chair is heavily damaged with tears and rips on it.- Furnishings shall be clean and in good repair.- Please replace or clean the chairs/furnishings that are damaged.
0.5
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 1225 W Gannon AVE ZEBULON, NC 27597 Facility Type: Nursing Homes Inspection Date: 07/28/2022
Score: 94
#
Comments
Points
2.
Carpeting in hallways and common areas (TV room, lobby area) were soiled in various areas. Hair salon flooring was soiled with hair and debris, especially in corners and around furniture/cabinets. Bathroom flooring in Rooms #306 and #408 was warped/damaged and not finished on the edges. Duck tape was on door threshold (#306)...Flooring shall be clean and good repair...Thoroughly clean and repair flooring as required.
1.0
3.
Ceiling was slightly peeling/damaged in laundry room and in Room #201 bathroom. Small holes were in wall in "Electrical panel" room where chemicals are dispensed...Walls and ceilings shall be maintained clean and in good repair...Repair ceiling/wall surfaces so they are smooth and easy to clean.
0.0
4.
Several ceiling lights throughout facility were burned out or not functional (#408, hair salon, spa room), and lighting was dim in these rooms...Lighting shall be at least 10 foot candles at 30 inches above floor...Replace/repair burned out/nonfunctional light fixtures.
1.0
5.
Some wall HVAC units had dust accumulation and some black mold/mildew on them. Some ceiling vents were a little dusty and with black build-up (#306, #408, therapy room, lobby/library, hallways)...Ventilation equipment shall be maintained clean...Increase cleaning frequency of HVAC units and ceiling vents.
1.0
8.
In inspected bathrooms with pull string alert systems by toilets, some pull strings were very soiled. Toilet seat surfaces were rough in therapy room. Vinyl folding seat undersides in Room #201 and #306 bathrooms were soiled...Toilet/bathing facilities shall be maintained clean and in good repair...Clean and disinfect pull strings daily, and replace them when stained and in poor repair. Replace rough/damaged toilet seat, and thoroughly clean folding vinyl seats in bathroom showers.
1.0
13.
Hot water reached 124F in staff break room, 119F in Room #401, and 120F in Room #408...Water heating facilities shall provide hot water within the temperature range of 100 degrees F to 116 degrees F at all lavatories and bathing facilities...Lower hot water temperature to proper range.
1.0
16.
Facility presented a plan provided by Sysco regarding their provision of food, water, and disposable items if available during an emergency, but the disaster/storm emergency action guidelines presented only provided very general information about what would be done to meet the Rules for a backup water supply plan...The local health department shall be immediately notified if the primary water supply is interrupted for more than four hours. Each institution shall have a plan to obtain a backup water supply in the event that the water supply is lost for more than four hours. The backup water supply plan shall provide for two liters of water per day per person for drinking. The backup water supply plan shall include a plan for either relocating residents or providing an alternative source of water for essential functions such as food preparation, hand washing, bathing, cleaning,
dishwashing, laundry and disposal of bodily waste. The amount of water provided for uses other than drinking may
be reduced if the plan includes alternatives for water use for services such as laundry and dishwashing. If an
assessment determines that tap water is not to be used for drinking, sources shall be prominently labeled or hooded to restrict use and potable water shall be provided...Provide a more specific backup water supply plan to meet the requirements above.
0.0
32.
In TV room, common rooms and resident rooms, many upholstered chairs had soiled seat cushions and areas under seats. Bottoms of some chairs were torn. In hair salon, black chair was torn/damaged, and gray chair was soiled. In TV room, black topped table was damaged and taped together...Furniture shall be maintained clean and in good repair...Increase cleaning frequency of furniture above or replace if needed. Replace black salon chair and TV room black table.
1.0
34.
Black soiled laundry cart in laundry room was not labeled...Carts used for soiled laundry shall be labeled for soiled laundry use only...Properly label soiled laundry cart.
0.0
35.
In #406 storage room, boxes of diapers were on floor...Patient contact and consumable items shall be stored at least 8 inches above floor...Store boxes of diapers as stated above.
0.0
General Comments
NOTE: In Spa room (community shower, tub and toilet room), many oxygen cylinders were stored in there. Director stated that only one resident uses this room, but all other residents use their own bedroom bathrooms. In-use bathrooms must not be used for storage, including oxygen tanks...>>>Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 1225 W Gannon AVE ZEBULON, NC 27597 Facility Type: Nursing Homes Inspection Date: 07/13/2021
Score: 95
#
Comments
Points
4.
NOTE: There is a blown light panel in the spa, however lighting is still sufficient. Replace blown bulbs.
0.0
5.
The ceiling vent in the spa has greyish residue on it. When examining the outside of the building - one of the individual units was missing a cover and another unit had a hole in it. Ventilation equipment shall be maintained clean and in good repair. Clean the vent and replace covers.
1.0
13.
The hot water temped at 118F in Room 401. Hot water shall be maintained between 100-116F. Adjust water heater accordingly so that hot water remains between 100-116F throughout the facility.
0.0
14.
The cleaner/disinfectant storage container is no longer attached to wall. A supply of cleaning and disinfecting agents shall be accessible to bathing areas in which the bathing equipment is shared. Repair container so that cleaners/disinfectants can be easily accessed.
0.0
16.
A back up water supply plan was not available. Each institution shall have a plan to obtain a backup water supply in the event that the water supply
is lost for more than four hours. Email me a signed copy of the back up water supply plan to Melodee.Johnson@wakegov.com no later than July 23, 2021.
1.0
28.
A box of plastic cups is being stored on the floor of the nursing station. Bottled water is being stored on the floor of the activities office/storage area. All patient care or consumable items shall be stored at least eight inches above the floor. Store items on shelving.
1.0
32.
There are food crumbs under the sofas as well as stains on some of the chairs in the tv room and visiting room/library; there is black residue on the bottom of the shower curtain in Room 201; and one of the white rocking chairs is missing a last while another one is broken/separating in the seat. All furniture and patient contact items shall be clean and in good repair. Clean under seat cushions, wash shower curtain; and repair/replace rocking chairs.
1.0
34.
One of the soiled linen containers was not labeled. Soiled laundry containers shall be labeled for soiled laundry use only. Label container.
1.0
35.
Packages of diapers are stored on the room and bathroom floor in Room 401. All patient care or consumable items shall be stored at least inches above the floor. Store items on shelving.
0.0
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
** Areas Assessed: Rm 201,300 and 401; the women and men's restrooms, the library/visiting area, the spa, nursing station, tv room, indoor and outdoor storage areas, electrical room, resident and facility laundry, hair salon and perimeter of building.
*Melodee Wallace Johnson - Melodee.Johnson@wakegov.com - 919.609.1783*
Location: 1225 W Gannon AVE ZEBULON, NC 27597 Facility Type: Nursing Homes Inspection Date: 12/30/2020
Score: 97
#
Comments
Points
3.
.1310 Peeling popcorn ceiling in the storage room across the hall from the employee lounge and in the main hallway near the shower room. Tarp on roof of building. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. Small portions of paint missing where a chair hit the wall in the TV room across the hall from the dining room. All walls shall be easily
cleanable and shall have washable surfaces to the highest level reached by splash or spray in rooms or areas where
such occur. Make necessary repairs.
1.0
8.
.1312 (a) Shower chair missing a rubber foot in the shower. All institutions shall be provided with toilet, handwashing, and bathing facilities that are conveniently located
and readily accessible to residents and staff. These facilities, and laundry facilities when provided, shall be kept
clean and in good repair.
Replace missing foot on chair.
0.0
9.
.1312 (b) Decorations and plastic storage boxes in the shower room in the front hallway. Oxygen tanks also stored in this bathroom/shower room. Toilet facilities shall comply with the requirements of the state agency licensing the facility. Toilet rooms shall
not be used for storage. Fixtures and furnishings shall be kept clean and in good repair. Durable, legible signs shall
be posted or stenciled conspicuously in each toilet room for food service employees directing them to wash their
hands before returning to work.
Remove items.
0.5
28.
.1318 (a) Several boxes of extra supplies stored stacked on the floor in the storage room across from the employee lounge room. Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture and supplies,
and kept clean. All patient care or consumable items shall be stored at least eight inches above the floor to prevent
water contamination from cleaning floors and shall not be stored below exposed sewer lines.
Store items above floor on shelf or rolling cart.
0.5
32.
.1319 (a) Small stain on chair in the library. Torn chair cushion on chair by the front door outside. Chair with torn seat cushion in the salon. All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other
furnishings in institutions shall be kept clean and in good repair. Repair/replace items as necessary.
0.0
34.
.1319 (b) Rack that clean linen is stored on in the laundry room in contact with the hand sink.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. Soiled
linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and
minimize aerosolization of and exposure to any waste products. Soiled laundry shall be handled and stored
separately from clean laundry using separate cleanable carts or bags. Carts used for soiled laundry shall be labeled
for soiled laundry use only. If hot water is used, linen including sheets, pillow cases, absorbent pads, towels and
wash cloths provided by the facility shall be washed with a detergent in water at least 71°C (160°F) for 25 minutes.
If low temperature (less than 71° C) laundry cycles are used, linens shall be washed in at least 50 parts per million
chlorine or an EPA Listed laundry sanitizer shall be used in accordance with the manufacturer`s instructions. This
shall not preclude the approval of other chemicals or processes shown to produce a 99.9 percent reduction of the
pathogens Staphylococcus aureus, Klebsiella pneumoniae and Pseudomonas aeruginosa on laundry. The wash
temperatures and chemicals required for linens shall not apply to personal laundry provided and used by a resident.
Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent
contamination of clean linen. Laundry areas and equipment shall be kept clean.
Install partition between hand sink and clean linen or create sufficient separation between the items to protect from splash.
1.0
35.
.1319 (c) Hair remaining in the curlers in the salon. Patient contact items shall be kept clean and in good repair. Clean hair out of curlers or have individual curlers for each resident using them.
0.0
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 1225 W Gannon AVE ZEBULON, NC 27597 Facility Type: Nursing Homes Inspection Date: 10/30/2019
Score: 97.5
#
Comments
Points
1.
Large crack in floor in the medicine room. Floors shall by easy to clean in good repair.
1.0
13.
Water at the hand sinks in patient room 401 is 120F. Hot water shall be maintained at hand sinks for patients between 100-116F. The hot water heat was adjusted the hot water was 109F by the end of the inspection.
0.0
34.
Dirty gray laundry container is not labeled dirty linens. Label dirty laundry containers.
1.0
35.
Toilet paper stored on the floor of the laundry room. Store patient contact items(toilet paper) in a clean location off the floor on shelving or in cabinet.
