Sep 8, 2026
98.5 / 100
· 2 violations
#5 · Ventilation equipment clean, good repair
.1311 (b) Ventilation equipment shall be kept clean and in good repair.
Observed black build up on A/C vent in room 2053. 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.
Obseved hot water at 120/121F in 2053, 2049, and 2045 Memory Care.
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Feb 9, 2026
99 / 100
· 1 violation
#2 · Walls and ceilings clean, good repair −1
REPEAT
.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 walls scuffed inside laundry rooms throughout in need of touch up paint and recommend installing wall covering to prevent future damage.
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Aug 4, 2025
98.5 / 100
· 4 violations
#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 minor carpet staining in 2012 and very minor staining and odor in 1027. Needs cleaning. REPEAT.
#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 minor damage to ceiling in Theater. Needs repair.
#7 · Facilities provided, accessible, clean, good repair
.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 chair stained and with build up in 3021. Observed build up in 2nd floor soiled utility hopper. Needs cleaning.
#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 chairs peeling in Theater room. Observed some build up on chair in massage room. Needs cleaning/repair.
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Feb 13, 2025
98 / 100
· 5 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 minor carpet staining in rooms 2028 and 3028. General comment.
#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 2045 in memory care unit. -General comment.
#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 disposable towels at handsink in memory care serving kitchen.
#26 · Premises properly maintained
.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 litter behind dumpster enclosed area. Clean. -General comment.
#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 cleaning needed to shelving in memory care serving kitchen refrigerator.
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Aug 22, 2024
98 / 100
· 2 violations
#2 · Walls and ceilings clean, good repair −1
Observed touch up paint needed in some storage rooms.
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
#7 · Facilities provided, accessible, clean, good repair −1
Observed stained toilet in room 3026 and 3010. Observed loose toilet seat in room 2048. 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.
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Mar 15, 2024
98 / 100
· 5 violations
#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 carpet staining in assisted living rooms throughout facility to include rooms 2014 and 3012.
#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 scuff markings and touch up paint need to walling and baseboards throughout facility. Observed touch up paint needed in assisted living room 2014 and memory care unit 2036.
#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 rooms 2039 and 2043.
#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 pillow case in memory care room 2036.
#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 red build up on flooring of reach in freezer in memory care serving area.
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Jul 13, 2023
99 / 100
· 4 violations
#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 staining on toilet seat in room 2029.
#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 signs posted at handsinks in toilet rooms through facility that employees use. (New rule, updated as of 12/1/2022).
#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 food debris build up inside microwave and freezer stored in room 2035.
#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. EHS emailed facility template for required vomit/diarrheal procedure plan. (New rule, updated as of 12/1/2022).
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Nov 30, 2022
98 / 100
· 2 violations
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed paint peeling in the bathroom in room 2032. Observed ceiling leaking on the 1st floor and in mechanical closet on 3rd floor.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed medication cups on the med carts stored with lips of cups exposed. Spoke with staff about proper storage.
**Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c).
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Feb 3, 2022
98 / 100
· 1 violation
#3 · Walls and ceilings cleanable, clean, good repair −2
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed damage to ceiling in mechanical room 215
and in theater room. Observed damage to door jams in mechanical room 215. Observed wall paper peeling in corners next to
windows in the library. Observe damage to half walls of sinks next to toilets in rooms 2047 and 1016. Observed walls chipping in
trash rooms where trash cans hit walls. Needs repair. REPEAT.
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Oct 6, 2021
98 / 100
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May 12, 2021
98 / 100
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Dec 2, 2020
97 / 100
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Dec 13, 2019
98 / 100
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May 16, 2019
98 / 100
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Dec 26, 2018
96.5 / 100
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Mar 21, 2018
97.5 / 100
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Oct 27, 2017
96 / 100
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Mar 8, 2017
97.5 / 100
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Sep 6, 2016
97.5 / 100
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