Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 08/20/2024
Score: 97.5
#
Comments
Points
16.
.1313) Hot water in kitchen sink in rooms 101, 201 and 301 only reaching 80F. All other sinks and the hot water in these rooms bathrooms were at 110-111F. Hot water shall be between 105F and 116F.
0.0
17.
.1313) Facility has bottled water onsite for backup supply. Facility has contract for water supply by foodservice company. The emergency water plan does not indicate to contact local health department if water supply is interrupted for more than 4 hours. The administrator shall immediately notify the licensing agency and the local health department that serves the county in which the institution is located if the institution`s primary water supply is interrupted for more than four consecutive hours. The institution shall have a written plan to obtain a backup water supply in the event that the institution`s primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution`s primary water supply or back up water supply becomes unsafe for human consumption then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use and the administrator shall provide potable water for use by the institution`s residents and employees. Emailed template to add to beginning of emergency plan to contact local health department. Repeat violation.
1.0
34.
.1319) No information for laundry machine and if correct ppm to sanitize linens. Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer`s instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following: (1) using a solution of at least 50 parts per million chlorine; or (2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer`s instructions. Please ask ECOLAB that services the chemicals to ensure chlorine is at 50ppm. Repeat.
1.5
General Comments
Very nice work on repairing and cleaning the maintenance area and storage areas near laundry room!
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 08/23/2023
Score: 96
#
Comments
Points
2.
Several walls with damage, especially in laundry room where visible water damage along wall near washing machine and hall outside of laundry room. Walls and ceilings shall be kept clean and in good repair.
1.0
5.
Several vents in bathrooms and a few rooms with dust accumulation on the air vents. Ventilation equipment shall be kept clean and in good repair.
0.0
17.
.1313) Facility has bottled water onsite for backup supply, but employee unable to show written procedures or contract. Facility has contract for water supply by foodservice company. The administrator shall immediately notify the licensing agency and the local health department that serves the county in which the institution is located if the institution`s primary water supply is interrupted for more than four consecutive hours. The institution shall have a written plan to obtain a backup water supply in the event that the institution`s primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution`s primary water supply or back up water supply becomes unsafe for human consumption then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use and the administrator shall provide potable water for use by the institution`s residents and employees.
0.5
32.
.1319) Chair cushion in memory care common area soiled with stains. Chairs in common spaces have food debris and items under chair cushions. Furnishings shall be kept clean and in good repair.
0.5
33.
.1319) Several baskets of laundry and one basket with linens in laundry room but only one cart labeled. Linens that are not clean shall be placed in a covered container or bag devoted to this purpose at the point of use and stored in the covered container or bag until sanitized in accordance with Paragraph (c) of this Rule to contain and minimize aerosolization of and exposure to any waste products. Such covered containers or bags shall be kept clean between uses and labeled to indicate the contents. Linens that are not clean shall be handled and stored separately from cleaned and sanitized linens. Please label baskets and carts to indicate what is clean and what is soiled.
0.5
34.
.1319) No information for laundry machine and if correct ppm to sanitize linens. Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer`s instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following: (1) using a solution of at least 50 parts per million chlorine; or (2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer`s instructions. Please ask Diversity company that services the chemicals to ensure chlorine is at 50ppm.
1.5
General Comments
Facility is using healthcare Clorox disinfectant wipes with contact time of 1 minute for most cleaning but 2 minute for maximum disinfectant. Bottle of Crew Non-Acid Disinfectant that was found, operator stated facility is not currently using this, but it has a contact time of 1 minute.
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 08/05/2022
Score: 94.5
#
Comments
Points
3.
The floor molding along the wall behind the toilet in the BTR hallway bathroom is stained and in poor repair. Have this molding replaced. The closet door in room 14 has a brown stain on it. The ceiling air vents in bathrooms in room 5, 208 and the third floor housekeeping closet have dust accumulation. Clean these vents.
0.0
8.
Toilets in rooms 111 and 310 are soiled. The shower seat in room 317 is soiled underneath. The toilet bowl in room 114 is heavily scratched. Toilets and bathing facilities shall be maintained clean and in good repair. Full points taken for repeat violation.
2.0
12.
Kitchen handwashing lavatory on second floor did not have paper towels. All
lavatories shall be supplied with hot and cold running water through a mixing faucet, or with tempered warm water,
soap, and sanitary towels or hand-drying devices. Replace towels
0.0
16.
Backup water supply plan is missing specific details. Sysco letter does not specifically say it will supply water within 48 hours. Create supply plan for water tower and DeerPark supply on site and obtain different letter from Sysco saying they will get water to facility within 48 hours if possible. Facility plan must include drinking water for 2 Liters/day per resident. 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. Points can be taken for repeat violation on next inspection. Provided guidance document on water supply plans during inspection.
0.0
28.
Game room refrigerator is heavily soiled on the inside. Old, uncovered drinks and food items appear to have leaked. Clean this refrigerator and discard old food items.
0.5
32.
Cushions on chairs in the lobby seating area were observed stained with food debris and wrappers underneath the cushions. A chair in room 14 has a brown stain on it. Third floor couches in the Tea Room were dirty with food debris, a fork, a soiled napkin, and a facility master key found under the cushions. Furnishings shall be kept clean and in good repair.
1.0
33.
Soiled linen cart in laundry area is not labeled. Carts used for soiled laundry shall be labeled for soiled
laundry use only. Add a label to cart used for soiled laundry.
0.0
40.
Food in the game room refrigerator was observed to be spoiled and without a label or date. Food brought from home by employees or visitors of patients or residents shall be stored separately from the
institution`s food supply and shall be labeled with the name of the person to receive the food and the date the food was brought in and shall be kept only as long as it is clean, and free from spoilage. Full point taken for repeat violation.
1.0
43.
Rooms 111, 114, 310, and 317 had no refrigerator thermometer. The game room refrigerator also lacked a thermometer. Each refrigeration unit shall be provided with an indicating thermometer of such type and
so situated that the thermometer can be easily read. Provide thermometers. Full point can be taken in the future for repeat violations.
0.5
44.
Resident drinks such as Boost nutrition shakes and apple sauce were observed stored on the floor of the BTR kitchenette. Containers of food shall be stored above the floor, on clean racks, dollies, slatted shelves, or other clean surfaces in such a manner as to be protected from splash or other contamination.
0.5
General Comments
Rooms 5, 8, 14, 111, 114, 116, 208, 310, 317 were observed. Facility has a commitment letter from Sysco for additional water during emergencies but does not guarantee water. Facility has a stockpile of DeerPark water in the basement storage area if needed and a water tower on the roof. Veterinary records for the only dog kept on site as of 8/5/22 were verified.
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 09/14/2021
Score: 95.5
#
Comments
Points
2.
15NCAC 18A .1309 (a); Carpets in rooms on first and third floor was stained in resident rooms. Third floor carpet in hallway had debris present. Floor in memory care area in one of the resident rooms was torn. Floors shall be free of obstacles to cleaning, and shall be kept clean and in good repair. Carpeting shall be maintained clean, odor free, dry and in good repair. Clean any visible stains off in carpet on first and third floor resident room. Repair floor in room 11.
1.0
3.
15NCAC 18A .1310; Ceiling tiles on third floor stained and need to be replaced. There is a water stain above the laundry area on the ground floor. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. Full points taken for repeat violation.
2.0
8.
15 NCAC 18A .1312 (b); Toilet on third floor is soiled. Multiple sinks had built up residue along faucet area. Toilets in two residents rooms on third floor were soiled. On first floor toilets in resident rooms were visibly soiled. Fixtures and furnishings shall be kept clean and in good repair. Clean toilet rooms more frequently.
1.0
12.
15NCAC 18A .1312 (d); On first floor hot water faucet in memory care area is missing. All
lavatories shall be supplied with hot and cold running water through a mixing faucet, or with tempered warm water, soap, and sanitary towels or hand-drying devices. Replace faucet.
0.0
16.
Backup plan is missing specific details. Sysco letter does not specifically say it will supply water within 48 hours. Create supply plan for water tower on site and obtain different letter from Sysco saying emergency water supply saying they will get water to facility within 48 hours. Plan must include drinking water (2Liters/day per resident and also water for flushing toilets, bathing, cooking, ets.)
0.0
27.
15NCAC 18A .1317 (f); No veterinary records were located on site. Copies of veterinary records for all resident pets shall be kept on the premises. Have vet records kept on site.
0.0
28.
15NCAC 18A .1318 (a); Adult diapers were stored on floor in second and third floor linen storage closets. A case of alcohol wipes was stored on floor on second floor. Adult diapers were stored on floor in resident room in memory care area. Patient contact surface items shall be stored at least 8 inches above the floor. Items were moved.
0.5
34.
15NCAC 18A .1319 (b); Director has no records from chemical company on laundry machine chlorine sanitizer. Comingled laundry must be sanitized at 50ppm. Director will work with company to determine how this is monitored and recorded.
0.0
42.
15NCAC 18A.1321 (b); Foods in the first floor kitchen area was not labeled. All foods brought in by residents and employees must be labeled with the resident/employee name and date.
0.0
43.
All resident rooms on first, second and third floor that had mini fridges present had no thermometers. Provide thermometers to mini fridges if any potentially hazardous food is stored in resident fridges.
0.0
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting. Inspection led by Shannon Flynn
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 06/04/2021
Score: 97
#
Comments
Points
3.
.1310 Ceiling tiles on third floor stained and need to be replaced. First floor ceiling tiles stained and paint peeling and needs to be repaired in dining room. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. Full points taken for repeat violation.
2.0
14.
.1312 No disinfectant available in spa rooms on the second and third floors. Shared bathing equipment that has contact with patient`s skin shall be cleaned with detergent and an EPA registered hospital disinfectant between patient uses. A supply of cleaning and disinfectant agents shall be accessible to bathing areas.
1.0
21.
Outside dumpster area has a lot of trash on the ground and around the inside of the enclosure. Solid waste enclosures shall be kept clean.
0.0
General Comments
Crew Non-Acid Disinfectant Cleaner with EPA#10324-85-70627 has a contact time of 10 minutes. Zep commercial quick clean disinfectant with EPA #1839-220-40849 has a contact time of 2 minutes. Recommend using Zep disinfectant in showers and toilets.
No signature captured due to COVID precautions. Inspection report emailed to person in charge.
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 12/18/2020
Score: 98
#
Comments
Points
3.
Ceiling tiles on third floor stained and need to be replaced. Near room 311 and 304. On 200 hall bottom of wall near stairwell needs to be repaired. Several holes and peeling paint in this area. Walls and ceilings shall be cleanable, clean and in good repair. Repeat violation
2.0
8.
One public restroom with corroded faucet. Fixtures shall be clean and in good repair. Repair worn faucets.
0.0
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Facility has two premixed disinfectants on site. Crew Disinfectant EPA #10324-85 has contact time of 10 minutes. Zep disinfectant EPA #1839-220 has contact time of 5 minutes.
Inspector contact information: Sarah Thompson 919-500-3421 Sarah.Thompson@wakegov.com
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 08/23/2019
Score: 97.5
#
Comments
Points
3.
Room 207 Wall paint is peeling in the bathroom. Wall damage in room 13 and memory care public bathroom. Wall damage in laundry room. Minimal carpet stains along third floor hallway. The walls and ceilings of all rooms and areas shall be kept clean and in good repair.
1.0
8.
Multiple handsinks throughout facility in public restrooms and resident rooms have worn and corroded faucets. Room 13 faucet leaks onto back of sink when turned on. Fixtures shall be clean and in good repair. Repair sinks.
1.0
35.
Storage closet on third floor has patient items stored on the floor. All patient care or consumable items shall be stored at least 8 inches above the floor to prevent contamination.
0.5
36.
In empty room 310 the resident refrigerator is soiled with black buildup along the inside shelving and inside door. They are in the process of cleaning the room for a future resident. Clean the refrigerator.
0.0
General Comments
Facility had leak in third floor room which caused elevators to be out of order. Facility currently has people onsite to repair the elevator. Water leak was already repaired. Facility is also in the process of repairing AC units. The ambient air was maximum of 82F. Facility also has company onsite during inspection to repair AC.
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 06/14/2018
Score: 95
#
Comments
Points
2.
Carpet in room 103 needs vacuuming. The closet floor in room 12 needs vacuuming to remvoe the dust and cobwebs.
0.0
3.
In room 12, the paint is peeling off the shower light fixture, there is moisture damage on shower wall, and a crack in the ceiling in the shower. Common area wall of room 12 is damaged. Replace the rusty and water damaged ceiling tile in janitor`s closet on 3rd floor. Shower light fixture and ceiling in room 112 has water damage and needs to be repaired. Clean windowsills in room, and dusty blinds and vents in resident rooms.
1.0
4.
Change lightbulbs in spa room and restroom on BTR floor, and 2nd floor restrooms.
0.0
6.
Clean mildew off wall vents in resident rooms. Vanity in room 10 is water damaged, from an old leak, mold was found under the sink and on the outside of the vanity, repair or replace vanity.
1.5
8.
Multiple handsink faucets in resident and public restrooms were worn, and corroded, replace worn faucets. Kitchen sink in room 311 needs to be cleaned. The 1st floor private restroom toilet seat is worn, replace worn toilet seat.
1.0
21.
Replace rusty and damaged dumpsters.
0.0
32.
Cleaning is needed under the couch cushions in the common area lounges. The vinyl mattress cover in room 103 is torn and needs to be replaced, and the mat under the bed in this same room is torn and needs to be replaced.
1.0
43.
Multiple resident refrigerators found without thermometers, place thermometers in all resident room refrigerators.
0.5
General Comments
Inspection conducted by Stephen Cogdill as part of training.
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 09/07/2017
Score: 97.5
#
Comments
Points
4.
Comment: In the shared bathroom in suite 316, the lighting was only at 2 foot candles. A minimum of 10 foot candles is required in all areas. Change out bulbs or light fixture so that lighting requirements are met.
0.0
8.
Multiple handsink faucets in resident and public restrooms were worn, replace worn faucets.
1.0
28.
There was storage on the floor in the 2nd floor hall storage room and in the closets in rooms 215 and 218. Storage should be off the floor or items should be in containers, cabinets, etc that are easily movable for cleaning.
0.5
32.
Cleaning is needed on the chair in room 316, also in this room, the vinyl mattress cover is torn, replace. Cleaning is needed under the couch cushions in the common area lounges.
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 08/10/2015
Score: 98.5
#
Comments
Points
3.
The hand rails in the "Bridge" unit need to be cleaned. There are dead insects in the hand rail under the light fixtures. Repair the wall around the missing tub fixtures on the third floor.
1.0
8.
The hand sink faucets in the shared baths and public restrooms are starting to corrode and will need to be replaced soon.
0.0
29.
In the large downstairs janitorial room, mops are left to dry on the top shelf of the chemical storage rack. Mop water is running all over the metal rack and the floor. Find a way to dry the mop heads hanging down above the sink.
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 09/17/2014
Score: 99
#
Comments
Points
8.
Repair the torn vinyl flooring in room 6.
0.0
14.
The shared bath in memory care had not been cleaned after use. A white residue was on the seat. The shared bath needs to be cleaned and disinfected after each use.
1.0
30.
Clean the med carts. There is splash on the sides of the carts, and crumbs in the disposable container storage bins.
0.0
35.
Remove the sponges from the toilet chair in 216. The sponges are not easily cleanable.
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 09/19/2013
Score: 99
#
Comments
Points
2.
The light colored carpet is not very well suited for the resident rooms. It stains easily ( see rooms 114,318,314,222,103 ). The carpets in the memory care unit need to be vacuumed more frequently.
1.0
8.
The faucets in 8,5,10,203,114, second floor hall bath, and third floor hall bath are corroding. Clean or replace the faucets.
0.0
35.
One shared bathroom on the third floor had a urine collection cap on the floor. Items like urinals or collection caps need to be labeled with the patient's name.
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 08/22/2011
Score: 98
#
Comments
Points
3.
The outside front of the building needs painting. The front porches need ceiling repair and painting.
1.0
34.
Fix leak behind washers in facility laundry. Replace dryer vent pipes that are damaged in facility laundry. Put chemicals on a rack that you can sweep and mop under with out moving everything in the main laundry room. The resident laundry needs cleaning behind machines. The chemical dispenser hose hangs beside the washer. I have seen machines with a hole in the lid with an attachment that holds the hose in place.
1.0
General Comments
Clean up out back at the storage building. Keep that area neat and clean. Neatly arrange the ladders or find a better place for them. The walls in the employee rest room near the basement kitchen need repair.
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 12/20/2010
Score: 97
#
Comments
Points
3.
The outside front of the building needs painting. The front porches need ceiling repair and painting.
1.0
8.
(1)Many of the faucets are corroded and should be replaced. (2)Several toilets need repair. Some toilets were flushing by themselves and need new flappers. (3)Some of the community showers have extra hardware that is no longer used or is broken. Remove un-necessary and broken equipment.
1.0
32.
The chairs on the front porch need replacing or cleaning and repainting.
1.0
General Comments
There was a trash bag of soiled diapers in the third floor janitor closet and causing some odor in the hallway.
Location: 1050 CRESCENT GREEN DR CARY, NC 27518 Facility Type: Nursing Homes Inspection Date: 11/30/2009
Score: 95
#
Comments
Points
9.
DO NOT STORE ITEMS LIKE BATTERIES FOR EQUIPMENT OF WHEELCHAIRS IN BATHROOM/WHIRLPOOL ROOMS. EX: DEMENTIA WING
0.5
28.
UTENSILS AND NUTRITIONAL SUPPLEMENTS IN MED ROOM MUST BE STORED ABOVE THE FLOOR.
1.0
30.
SINGLE SERVICE SPOONS ON MED CARTS (A AND) B SHOULD BE STORED SO THAT STUFF ONLY TOUCHES UTENSIL HANDLES AND NOT MOUTH END WHEN SERVING
1.0
35.
RESIDENT TOILETRIES IN SHARED SUITE BATHROOMS MUST BE STORED SEPERATELY TO AVOID CONFUSION OVER USE OR CROSS CONTAMINATION. EX: TOOTHBRUSHES & RAZORS IN SUITE BATHROOM IN DEMENTIA WING.
0.5
42.
OPENED PACKETS OF APPLESAUCE AND CANS OF ENSURE MUST BE DISCARDED AFTER COMPLETION OF SERVICE ROUNDS ABD NOT BE LEFT ON CARTS.
