94.5/ 100

UNIVERSITY PLACE NURSING AND REHABILITATION CENTER

9200 GLENWATER DR, Charlotte, NC 28262

Rest/Nursing Homes · NC permit/State ID 2060400060

Latest result94.5 / 100

Last inspectedMar 26, 2026

Inspections on record25

On record sinceNov 4, 2013

Score history

Nov 4, 2013Higher is betterMar 26, 2026

Inspections & violations

Mar 26, 2026 94.5 / 100 · 7 violations

Inspector comments: NOTE: - Nurse assistant director: Natalie Faltyn and Maintenance director: Gearod Dupree present during walkthrough inspection.

#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −2

REPEAT 1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair.- Observed debris on flooring underneath shelving in closets, sticky floor, debris on flooring throughout the room or along edges in room 302, 814, 706, 707, 403, and other several residents rooms. Detail cleaning needed. Keep flooring throughout the facility clean.

#7 · Facilities provided, accessible, clean, good repair −2

REPEAT .1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. - Observed damaged ceiling in front of room 603 need repair. Observed faucet needs repair in room 403. Observed soiled hand sinks/ soiled toilet in activity room, soiled utility room near the front, spa 300 hall, room 315, 506, 600, 701, 706, 914, 911, 113, 106, 101, 302, spa room in arboretum. Observed damaged toilet seat need repair or replace in room 315, 600, 706, 701. Details cleaning needed. Keep all toilets and sinks clean.

#8 · Toilet rooms free of storage, handwash signs posted −0.5

REPEAT .1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed wheelchair, dining roller table chair lift stored in Spa room rehab, and spa on garden C hall. Only store bathroom related items in bathroom facility. .1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work.- Observed no hand washing sign posted in staff restroom in rehab. EHS provided hand washing sings to PIC at the times of inspection.

#17 · Back-up water supply plan available and complete −0.5

REPEAT .1313 (e) 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 backup 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. - Observed the facility with the incomplete written plan for backup water supply. The facility still has a plan template (filling information) of health department checklist. The facility shall have their own plan according to the need of their facility. The health department checklist is a guide to complete your own written plan. Obtain a complete detailed plan and have available upon request.

#28 · No pest presence; effective pest control measures

General comment: .1317 (a) Pests shall not be present in an institution's building or buildings.- Observed drain flies in room/restroom 106, 600. During inspection, the resident in room 600 and 604 mentioned that aunts are in their room. Ensure to keep the facility free of pests.

#38 · Food service equipment and utensils clean, good repair −0.5

REPEAT .1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed soiled microwaves need cleaning and keep clean in nourishment rooms.

#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated

General Comment: .1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. - Observed residents food in refrigerator of nourishment room in arboretum without name and date. Ensure to label each items with name and date.

View this inspection on the county portal ›

Nov 3, 2025 97 / 100 · 5 violations

#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −1

REPEAT 1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair.- Observed pantry closet floor 500 hall needs cleaning. Observed dust/debris underneath bed in room 107, 814, need cleaning. Observed soiled plastic cabinet shelving in Spa 300 hall needs cleaning.

#7 · Facilities provided, accessible, clean, good repair −2

REPEAT .1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed loose faucet, need repair in 909. Observed soiled hand sinks in activity room, med room, OT room, dining room, nutrition room, all general common areas throughout the facility, need detail cleaning and keep clean.

#8 · Toilet rooms free of storage, handwash signs posted

General Comment: .1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed wheelchair, clothing basket full of hangers, shoes, unused clothes stored in Spa room memory care. Only store bathroom related items in bathroom facility.

#17 · Back-up water supply plan available and complete

REPEAT General Comment: .1313 (e) 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 backup 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. - Observed the facility with the incomplete written plan for backup water supply. The facility is revising the detail written plan at the time of inspection. EHS explain in detail of what needed. Obtain a complete detailed plan and have available upon request. No point at this time.

#38 · Food service equipment and utensils clean, good repair

General Comment: .1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed rusted/peeling on top microwave in nourishment room at the front entrance. Repairing or replacing microwave. Keep all equipment in good repair.

View this inspection on the county portal ›

Jun 16, 2025 97 / 100 · 4 violations

Inspector comments: NOTE: - Director: Shawnna Fairman and a whole administration team present during walkthrough inspection

#1 · Floors and carpets cleanable, clean, good repair; carpet odor free

General Comment: 1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair.- Observed damaged flooring in restroom 107, 909. Repair needed. Observed dust/debris underneath bed in several rooms in memory care unit. Detail cleaning needed and keep clean.

#7 · Facilities provided, accessible, clean, good repair −2

REPEAT .1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed stained toilet seats in resident restrooms 311, hallway restroom front desk. Observed rusted toilet chair in 914, 311. Replace/repair damaged toilet seats/chair commode. Observed spa room floor/wall tiles in 100 hall, need detail cleaning and keep clean.

#17 · Back-up water supply plan available and complete

General Comment: .1313 (e) 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 backup 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. - Observed the facility without a complete written plan for backup water supply. Obtain a complete detailed plan and have available upon request.

#20 · Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair −1

.1314 (c) Ice machines and storage chests accessible to residents, guests, or the public shall provide ice through automatic ice dispensing equipment and shall not permit ice to be accessed using a scoop or bucket.- Observed blue cooler of ice stored on a rolling cart sit out in every hallway. Ice shall be protected and made inaccessible to public if not automatic dispenser. Ice cooler shall be stored safe inside a lock nourishment room.

View this inspection on the county portal ›

Dec 13, 2024 97 / 100 · 2 violations

#2 · Walls and ceilings clean, good repair −1

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed chipped/scuffed doors throughout facility.

#7 · Facilities provided, accessible, clean, good repair −2

View this inspection on the county portal ›

Feb 28, 2024 95.5 / 100 · 9 violations

Inspector comments: NOTE: Maintenance: Mr. Greg Brown. Environmental health Director: Mrs. Chrystal Swinger present at the time of inspection. Admin in training: Mr. Bryce Karstetter. Environmental consultant: Ms. Bu-ita Frindt present during report meeting at the end.

#1 · Floors and carpets cleanable, clean, good repair; carpet odor free

General Comment: 1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair.- Observed closets floor throughout the facility, restroom floor 104, need cleaning/vacuuming and keep clean.

#4 · Lighting at least 10 foot candles, 30 inches above floor

General Coment: .1311 (a) The areas interior to an institution's building or buildings shall be equipped with at least 10 foot candles of light at 30 inches above the floor.- Observed disrepair light bulbs in spa room near the front, Missing light shield cover in some rooms (closet, storage) of the building, need repair or replace.

#7 · Facilities provided, accessible, clean, good repair −2

REPEAT .1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.- Observed loose toilet seat in restroom at the front hall needs to repair. Observed soiled toilets and hand washing sinks throughout the facility (1008, 1003, 118, 104, 307, 604) except in memory care unit. Need details cleaning and keep clean.

#10 · Handwashing facilities properly located and equipped

General Comment: .1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed restroom in admin hall without paper towel and soap. Soiled linen room in 300 hall without paper towels. Ensure to provide all hand washing supplies at all hand sinks at all time. .1312 (d) Handwashing facilities shall be located in an institution in accordance with 10A NCAC 13B .5411, 10A NCAC 13D .3201, 10A NCAC 13F .0305, .1304, and 10A NCAC 13K .1109, .1204, as applicable. Institutions that do not have a handwashing facility located in all areas required by this Paragraph shall not be required to install handwashing facilities if the institution has an approved hand hygiene program. Observed limited access to hand sink in soiled room and spa room some part of the facility. Ensure to not blocking access to hand washing sink at anytime.

#17 · Back-up water supply plan available and complete −1

#28 · No pest presence; effective pest control measures

General Comment: .1317 (a) Pests shall not be present in an institution's building or buildings.- Observed drained flies in in 807 and activity room near by.

#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −0.5

.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair.- Observed damaged on the arms of wheelchair in 118. Damaged tables in Cafe and dinning room near 1000 hall. Need repair or replace.

#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled −1

.1319 (b) A resident's bed linens shall be changed when no longer clean.- Observed soiled bed linens, blanket, pillow cases in room 506, 604, 1003, 807, 104. Need replace and provide clean bed linens.

#34 · Linens provided by the institution properly cleaned and sanitized

General Comment: .1319 (c) 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. - Observed the facility without the laundry records showing the concentration of chlorine solution as it use to sanitize the facility linens. Obtain and maintain the records.

View this inspection on the county portal ›

Sep 8, 2023 92 / 100 · 8 violations

#1 · Floors and carpets cleanable, clean, good repair; carpet odor free

1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed flooring in oxygen room on admin hall and 1000 hall closet floor need deep cleaning, and keep clean. Observed pick mildew of flooring in 300 -500 hall bath, need cleaning and remain clean -0 pts-

#7 · Facilities provided, accessible, clean, good repair −2

REPEAT .1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed toilet need cleaning/better cleaning in room 600, 700, 900 hall restroom, 300-500 hall bath, 113, 802. Observed loose seat in room 811, 905, 900 hall restroom, 113, need repair or replace. Observed damaged toilet seat that need replace in room 307, 707. Observed rusted or damaged toilet seat/chair in need of repairing or replacing in room 600, 310. Observed slow drain in hand sink in room 501, 600, need repair. Observed leaks toilet in room 805, need repair or replace. -2 pts-

#8 · Toilet rooms free of storage, handwash signs posted −0.5

.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed two outdoor umbrellas and files boxes store in toilet room on admin hallway. Remove all items that are not bathroom related. -0.5 pts-

#11 · EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used

.1312 (e) EPA registered disinfectants shall be used in accordance with the manufacturer's instructions. When EPA registered disinfectants are mixed and prepared by institution employees, a measuring device, chemical testing device, or the methods and devices prescribed by the chemical manufacturer shall be used to prepare the concentration of chemicals in accordance with the disinfectant's label and the manufacturer's instructions. Observed cleaning employee does not have knowledge about the amount of contact time for cleaning and disinfecting surfaces. Cleaning manager will educate all cleaning staff for effectively cleaning. -0 pts-

#16 · Hot water between 105°F and 116°F −3

REPEAT .1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water excess the range between 117F to 126F (900 hall nourishment room behind nursing station, 902, 501, salon, 905, 204, 103, 108, 307, 310, 300 hall dining, 802. Adjust hot water to be between 105F - 116F and remain in the range. VERIFICATION NEEDED. -3 pts-

#17 · Back-up water supply plan available and complete −1

REPEAT .1313 (e) 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 backup 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. Observed the facility with incomplete written plan for backup water supply. EHS emailed backup water supply plan checklist to administer at the time of inspection. The facility will get the plan put together -1 pts-

#20 · Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair −1

.1314 (c) Ice shall be protected against physical, chemical, and biological contamination and shall be kept clean. Observed ice cooler on the roller cart sit in the hallway upon entrance of the building. Observed the unlock room where ice cooler stored in it in 800 hall. EHS asked for the receptionist to move the cooler into a lock storage room and locked the room where ice can be protected. -1 pts-

#38 · Food service equipment and utensils clean, good repair −0.5

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed very soiled microwave in 1000 hall dining and pink mildew inside the ice machine in nourishment room near the front entrance, need details cleaning and keep clean. -0.5 pts-

View this inspection on the county portal ›

May 4, 2023 92.5 / 100 · 10 violations

Inspector comments: *NOTE: Housekeeping Manager, Kevin Willoughby, was present during time of inspection. EHS advised facility the the employee health policy has been extended to all employees within facility and not just limited to kitchen staff. EHS emailed administrator a back up water supply plan procedure and vomitus/diarrheal incidence procedure. upl63-admin@universityplacenursing.com

#7 · Facilities provided, accessible, clean, good repair −2

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed detailed cleaning needed to hopper in soiled utility room located on rehab unit. Observed hot water faucet not working at handsink in shared spa room located in memory care unit. Observed detailed cleaning needed to shower tiles and toilet in shared spa room located in memory care unit. Observed black build up at bottom of shower curtains in shared spa room located on 100 hallway. Observed detailed cleaning needed to toilet and shower tiles in shared spa room located on 100 hallway. Observed loose toilet seat in room 1002. Observed brown build up on toilet rim in room 912. REPEAT VIOLATION.

#8 · Toilet rooms free of storage, handwash signs posted

.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed handwashing signs missing at employee toilet rooms sporadically throughout building.

#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected

.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. Observed several urinals not labeled according to notated rule (room 903 & room 908).

#10 · Handwashing facilities properly located and equipped −1.5

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no paper towels at handsink in shared spa room located in memory care unit and 100 hallway.

#16 · Hot water between 105°F and 116°F −1.5

.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water not within the required range in the following areas: 95F room 903, 95F room 908, 94F room 912, 92F room 1002.

#17 · Back-up water supply plan available and complete −1

.1313 (e) 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 backup 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. Observed no written plan for backup water supply. REPEAT VIOLATION.

#38 · Food service equipment and utensils clean, good repair

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed detailed cleaning needed to microwave in memory care activity room.

#42 · Food and food supplies from approved sources; properly stored and handled −1.5

.1321 (a) All food and food supplies provided by an institution for consumption by residents shall be from approved sources, stored, and handled as set forth in 15A NCAC 18A .2600. Per conversation with several nursing staff, they are obtaining drinking water for residents to consume meds for nourishment rooms that are equipped with a handwashing sink only. EHS advises facility to obtain drinking water from an approved source only (bottled drinking water, food prep sink in kitchen, water fountains). REPEAT VIOLATION.

#45 · Hot and cold holding equipment provided; thermometers provided, accurate

.1323 (b) Hot and cold holding equipment shall be used to maintain the required temperatures for TCS food. Each refrigeration unit shall be provided with an indicating thermometer that is accurate to ±3 degrees Fahrenheit or ±1.5 degrees Celsius. Observed no thermometer in refrigerator located in memory care unit activity room.

#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete

.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Per conversation with administrator, facility has the vomit/diarrhea clean up kits. EHS provided facility with a template procedure to clean up diarrheal/vomitus incidents.

View this inspection on the county portal ›

Nov 9, 2022 88.5 / 100 · details not yet loaded