Jan 28, 2026
97 / 100
· 2 violations
#2 · Walls and ceilings clean, good repair −2
.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 scuffed walls/doors in various areas throughout facility. Observed baseboards peeling from wall in bathrooms. Repeat.
#38 · Food service equipment and utensils clean, good repair −1
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed fridge in therapy room in need of cleaning. Keep food service equipment clean. Repeat.
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Aug 20, 2025
97 / 100
· 4 violations
#2 · Walls and ceilings clean, good repair −2
.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 scuffed walls in various areas throughout facility. Observed baseboard peeling from wall and small hole in wall in bathroom of room 59. Repeat.
#16 · Hot water between 105°F and 116°F
.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 in resident room 46 reach 96F. Observed hot water get to 104F in some rooms and 101F in room 59. Ensure hot water is between 105-116F.
#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 equipment in therapy room with tears. Repair/replace. Repeat.
#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 fridge in therapy room in need of cleaning. Keep food service equipment clean. Repeat.
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Mar 19, 2025
98.5 / 100
· 3 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 wall scuffs throughout facility in hallways and resident rooms. Observed paint peeling on doors. Observed baseboards peeling away from walls in some areas. Repair.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair
.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 equipment in therapy room with tears. Repair/replace.
#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 fridge and microwave in therapy room in need of cleaning. Keep food service equipment clean.
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Sep 9, 2024
96.5 / 100
· 4 violations
#2 · Walls and ceilings clean, good repair
.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 baseboards peeling away from wall in bathroom in room 56. Repair.
#5 · Ventilation equipment clean, good repair
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust buildup in a/c filters in rooms 47 and 62.
#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 loose toilet seat in room 56. Observed soiled toilet in need of cleaning in room 40. Observed broken hand sink faucet in room 62. REPEAT
#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 below 105F in all resident rooms inspected. Adjust water heater/mixing valves to meet proper hot water temperatures (105F-116F). REPEAT
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Sep 28, 2023
97.5 / 100
· 4 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 Morrows turnout storage room needs cleaning, dropped supplies on the floor underneath shelving.
#7 · Facilities provided, accessible, clean, good repair −1
.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 room 60, 65, 21, women restroom front hallway. Broken faucet at the hand sink in nourishment room east wing. Broken soap dispenser in soiled linen room east wing. Need repair.
#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 soap available for hand washing in room 21, 43, 60, supply and soiled linen room (east wing). Observed no paper towel available for hand drying in room laundry room and supply room (east wing).Ensure to provide all hand washing supplies at all hand sinks at all time.
#16 · Hot water between 105°F and 116°F
.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 a variation of water temperatures throughout the building. According to maintenance, the facility is currently experiencing the issue with recently gas leaks in the area. The facility is aware of differences of water temperatures and the issue will be fixed when parts get here by tomorrow and water temperature will be within range of 105F - 116F.
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Dec 19, 2022
99 / 100
· 2 violations
#5 · Ventilation equipment clean, good repair −0.5
Observed dust build up on ac filters in room 7.
.1311 (b) Ventilation equipment shall be kept clean and in good repair.
#18 · Drinking fountains clean, good repair −0.5
Observed spout cover missing on water fountain near Rehab side of building.
.1314 (a) Drinking fountains shall be kept clean and in good repair.
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Jun 22, 2022
97 / 100
· 2 violations
#3 · Walls and ceilings cleanable, clean, good repair −2
Observed wall damage behind headboard and night stand in room 6. Observed wall paint peeling in rooms 15 and 19. Observed wall joint/corner damaged (missing frp) and stained ceiling tile in corner near 1st bed in room 58. Observed stained ceiling tiles in Rehab/Gym.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed stained pillow and pillowcases in room 36.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
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Nov 15, 2021
96.5 / 100
· 4 violations
#3 · Walls and ceilings cleanable, clean, good repair −2
Observed walls needing touch up paint in room 15 and room 41. Observed damage to wall at doorframe in restroom in room 41. Observed stained ceiling tiles in laundry room above bins. Observed ceiling peeling in hall near room 50.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#9 · Toilet rooms free of storage, hand wash signs posted −0.5
Observed wheel chair stored in restroom in room 57.
Toilet rooms shall not be used for storage. See rule .1312 (b).
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5
Observed plastic urinal (with urine in it) unlabeled. Room has 2 male residents. Must label with name and date.
Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c). Repeat.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed hair in drawers and on rollers in storage rack in salon. Clean/disinfect after each client. Repeat.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
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May 3, 2021
90 / 100
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Oct 16, 2019
93.5 / 100
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Apr 26, 2019
94.5 / 100
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Oct 8, 2018
94 / 100
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Mar 2, 2018
93 / 100
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Dec 21, 2017
95 / 100
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Jan 26, 2017
95 / 100
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Feb 15, 2016
94.5 / 100
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Aug 21, 2015
92.5 / 100
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Apr 30, 2015
92 / 100
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Nov 5, 2014
94 / 100
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Jan 30, 2014
96.5 / 100
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Dec 11, 2013
96.5 / 100
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