92.5/ 100

MINT HILL SENIOR LIVING

10830 LAWYERS GLEN DR, Charlotte, NC 28227

Rest/Nursing Homes · NC permit/State ID 2060400138

Latest result92.5 / 100

Last inspectedAug 31, 2026

Inspections on record21

On record sinceFeb 19, 2015

Score history

Feb 19, 2015Higher is betterAug 31, 2026

Inspections & violations

Aug 31, 2026 92.5 / 100 · 7 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 minor touch up paint needed walling and baseboards throughout building. REPEAT.

#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 shower chair cracked and stained in central bath. Observed crack in shower floor in bathroom next to 107. Observed 300 central bath shower tile heavily worn. Observed sink and shower chair in need of cleaning in 212 bathroom. Observed shower in need of cleaning in 215 bathroom. REPEAT.

#10 · Handwashing facilities properly located and equipped

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed soap missing in 407 bathroom. Observed no paper towels in 304 bathroom. Observed no papertowels in 300 central bath. Needs soap/paper towels.

#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 at 120F in activity room bathroom and room 407. Observed hot water at 124F in 309 and 120F in 212. Observed hot water at 126F in 200 hall central bath. Needs to be 105-116F.

#18 · Drinking fountains clean, good repair −1

.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed drinking fountains in activity room with broken mouth guard. Needs repair. The facility has the majority of drinking fountains turned off. REPEAT.

#30 · Medication carts clean; sharps containers attached; food, utensils, medication and medication dispensers properly handled

.1318 (a) Sharps containers located on medication carts shall be attached or secured to the medication cart to prevent the sharps contained from spilling. Observed medication cart in hall with sharps container sitting on a side shelf and not secured to the medication cart. Needs to be secured to the medication cart.

#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1

.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 food stored in activity room refrigerator not labeled and in refrigerator located on unit 200. REPEAT VIOLATION.

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Feb 4, 2026 93 / 100 · 8 violations

Inspector comments: *NOTE: Head of Maintenance, Buddy, was present during time of inspection along with Intern EHS, Isabel Self. Report emailed to administrator, Matthew Hopper, at: Director@minthillseniors.com

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

#5 · Ventilation equipment clean, good repair −0.5

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed removable AC vents with heavy dust accumulation in rooms throughout building. REPEAT VIOLATION.

#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 cleaning needed to toilet in activity room. Observed cleaning needed to shower in room 209. REPEAT VIOLATION. Improvement made from previous inspection report.

#18 · Drinking fountains clean, good repair −1

.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed 1 water fountain in activity room with black build up on drinking nozzle. Clean. REPEAT VIOLATION.

#34 · Linens provided by the institution properly cleaned and sanitized −1.5

.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 no documentation to verify that notated rule is in compliance. EHS advises facility to start keeping a service report from servicer. REPEAT VIOLATION.

#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 cleaning needed to shelving of refrigerator in activity room and on unit 200. Observed cleaning needed to dorm style refrigerators located in rooms 210 and 403. REPEAT VIOLATION.

#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1

#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 activity room refrigerator. GENERAL COMMENT.

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Jul 9, 2025 90 / 100 · 10 violations

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

#5 · Ventilation equipment clean, good repair

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed heavy dust accumulation on A/C vents in room 205. Needs cleaning.

#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 peeling and damaged shower floors in shower rooms. Observed stained shower curtains in shower room 2, 202, 205, and shower needing cleaning in 106. REPEAT.

#12 · Bathing facilities properly equipped, equipment cleaned and disinfected

.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions. Observed build up on shower chairs in bathing room 1 and build up in tubs in bathing room 1 and 2. Needs cleaning.

#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 at 123F at handsinks throughout the building. Needs to be 105-116F. REPEAT.

#18 · Drinking fountains clean, good repair −1

#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1

.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 minor debris under some cushions on furniture in common areas. Observed damage to dresser drawers in several rooms. Observed build up in cabinets in salon and in cabinet under sink in 202. Needs cleaning/repair. REPEAT.

#34 · Linens provided by the institution properly cleaned and sanitized −1.5

.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. Director provided service report during time of inspection however report did not detail required information. EHS advised Director to have servicer start to include required information in reports. 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 build up in staff lounge microwave and refrigerator in common area outside 206. Needs cleaning. REPEAT.

#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1

.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 outside food for residents not labeled in activity room refrigerator. REPEAT.

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Jan 8, 2025 91 / 100 · 14 violations

Inspector comments: *NOTE: Head of Maintenance Justin was present during time of inspection. EHS Ariel Humphrey was present during time of inspection. Report signed for by: TIffany Kaminski Report emailed to the following: Director@minthillseniors.com

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

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 laminate flooring lifting in the bathroom by shower near room 112. Observed general cleaning needed to flooring in resident laundry rooms throughout building. Observed floor tiles damaged in employee lounge under vending machines. REPEAT.

#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 walling damaged and baseboard in need of repair behind toilet in room 402.

#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 general cleaning needed to tub and flooring located in shared spa on hallway 400. Observed cleaning needed to several toilets throughout building located in residents rooms. REPEAT, improvement made from previous report.

#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 disposable urinal not labeled in room 402. -General comment.

#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 not within required range in the following areas: room 402, 54F; room 107, 96F; room 208, 100F. -General comment.

#18 · Drinking fountains clean, good repair −1

.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed heavy black build up on the drinking nozzle of water fountain in activity room. REPEAT.

#23 · Solid waste containers properly constructed, covered where required; good repair

.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use. Observed 1 sliding door opened to outside dumpster. -General comment.

#26 · Premises properly maintained −1

.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborages. Observed 1 bag of trash stored outside of dumpster area. Observed minor debris/litter surrounding trash. Improvement from previous inspection.

#28 · No pest presence; effective pest control measures −0.5

.1317 (a) Pests shall not be present in an institution's building or buildings. Observed several ants in room 105 on wall and window seal. Observed 1 crawling insect in bathroom near room 112.

#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 heavy debris/trash under removable couch cushions in activity room. Observed general cleaning needed to dresser drawers in beauty salon. Observed cleaning needed to shelving of dorm style refrigerator in room 105. REPEAT

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

.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed staining on bed linen in room 202. -General comment.

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

.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. Director provided service report during time of inspection however report did not detail required information. EHS advised Director to have servicer start to include required information in reports. -General comment.

#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 general cleaning needed to facility provided domestic style refrigerator throughout facility (activity room, fridge on unit 200). REPEAT.

#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1

.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 outside food for residents not labeled in activity room refrigerator, unit 200 refrigerator, and in employee lounge refrigerator. REPEAT.

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Aug 2, 2024 86.5 / 100 · 14 violations

Inspector comments: *NOTE: Head of Maintenance, Perry Jones, was present during time of inspection. Report emailed to the following: Director@minthillseniors.com

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

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 general cleaning needed to flooring throughout facility. Observed some carpeted rooms with carpet staining. Observed floor tile damaged in restroom of 107. Observed laminate flooring bubbling in the bathroom outside of room 203. Observed flooring stripped in bathroom of room 402. REPEAT VIOLATION.

#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 damage behind toilet in room 111. Observed wall baseboard also coming off from wall in restroom of room 111. Observed baseboard coming off from wall in bathroom of room 306. REPEAT VIOLATION.

#5 · Ventilation equipment clean, good repair −0.5

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust accumulation to removable AV vents throughout facility. Observed dust accumulation to wall and ceiling vents throughout building. Observed dust accumulation to ceiling fan in laundry room.

#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 toilet throughout facility in residents rooms in need of detailed cleaning (toilet seat with brown build in room 111, pink ring within toilet bowl in room 301, toilet seat with brown build up in room 306). Observed detailed cleaning needed to flooring and toilets in shared bathing rooms located on 400 and 300 hallways. Observed shower chair rusting in room 111. Observed toilet not operational in room 402.

#8 · Toilet rooms free of storage, handwash signs posted −1

.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed pile of linen stored on the floor in shared bathing facility located on 300 hallway. Observed pile of linen with brown debris under it stored in front of toilet located in shared bathing room located on 300 hallway.

#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/hand drying device at handsink in shared bathing room located on 300 and 400 hallways. Observed no paper towels/hand drying device at handsink in the toilet room of room 303.

#18 · Drinking fountains clean, good repair

.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed 1 water fountain not working in activity room and 1 with cleaning needed within drinking nozzle.

#25 · Containers and areas clean; sufficient capacity −0.5

.1316 (c) The designated rooms and containers described in rule .1316 (b) shall have the capacity to store the institution's refuse, recyclables, and returnables and shall be kept clean. Observed minor debris behind/surrounding dumpster area. Improvement made from previous report.

#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 black rolling chair armrest peeling in activity room. Observed general cleaning needed under couch cushions in activity room.

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

.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed staining on linen in room 105

#34 · Linens provided by the institution properly cleaned and sanitized −1.5

.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 no documentation with facility to verify that notated rule is in compliance. REPEAT VIOLATION. During time of inspection, service provider was called and facility requested a copy of their last service report(report was not received before EHS left building). EHS advises facility to start keeping service reports onsite.

#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 general cleaning needed to the shelving of refrigerators stored on all units within facility to include activity kitchen. Observed refrigerator unit not functioning on 200 unit.

#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1

.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 food not labeled stored in refrigeration units located on 100 hallway. REPEAT VIOLATION.

#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete −2

.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 management, the kitchen has the required plan/procedure. EHS advised management that building portion of facility needs a procedure plan for notated rule as well. EHS resent facility copy of required plan. REPEAT VIOLATION.

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Feb 1, 2024 93 / 100 · 9 violations

Inspector comments: *NOTE: Report reviewed for and signed by Pate Wilkerson. Report emailed to Director at: Director@minthillseniors.com

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

#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 damage to walling behind and to the left of toilet in room 111.

#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. Facility has template that Mecklenburg County Environmental Health provides but has not answered the questions on document. EHS advises facility to use template to create an effective/accurate back up water supply plan. REPEAT.

#18 · Drinking fountains clean, good repair

.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed black build around 1 water fountain nozzle located in activity room.

#23 · Solid waste containers properly constructed, covered where required; good repair

#25 · Containers and areas clean; sufficient capacity −0.5

#34 · Linens provided by the institution properly cleaned and sanitized −1.5

.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. EHS was unable to get into laundry area during time of inspection due to employees not being able to locate key that grants access to door. Facility also did not have documentation for required notated rule for commingle laundry. (Facility provides common linens to residents).

#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1

.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 some food brought into facility for residents not labeled in refrigerator located on unit 100. REPEAT.

#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete −2

.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. EHS emailed director required template procedure. REPEAT.

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Jul 5, 2023 91 / 100 · 10 violations

Inspector comments: *NOTE: Head of Maintenance Tony, was present during time of inspection along with EHS, Konya Parker.

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

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 toilet room of room 403 lifting behind toilet. EHS advises establishment to repair flooring. Improvement from previous report.

#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 shared bathroom between rooms 104-106. Observed soiled toilet in shared bathroom between rooms 104-106. Observed handwashing sink stored in oxygen supply room basin blocked with supplies, EHS advises facility to keep all handsinks accessible. Observed mop sink in oxygen room with brown/pink staining, EHS advises facility to complete detailed cleaning to mop sink. 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 no handwashing sign at handsink in restroom located in activity room where residents and institution employee’s utilize.

#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 activity room. Paper towels were supplied to handsink during time of inspection. Improvement from previous inspection.

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

#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. EHS emailed facility a template for backup water supply plan. REPEAT VIOLATION.

#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1

.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 blue chair stored in beauty salon with staining. Observed armrest on wheelchair in beauty salon peeling. Observed 1 handle missing to dresser in room 403. Observed debris under couch cushion stored in common area on unit 400. REPEAT VIOLATION.

#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 debris build up inside of microwave in kitchenette located in unit 100. Observed microwave with debris build up in common room on unit 400. Observed detailed cleaning needed to shelving of refrigerator and flooring of freezer stored in kitchenette on unit 200.

#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1

.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 food stored in kitchenette’s refrigerators in unit 100 and 200 with no names or dates of when food was brought into institution. REPEAT VIOLATION.

#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete −1

.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. Observed no procedure or kit within facility for notated rule. EHS emailed Director a reference. REPEAT VIOLATION.

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Feb 6, 2023 80.5 / 100 · details not yet loaded