92.5/ 100

REDWOOD HEALTH & REHABILITATION

5939 REDDMAN RD, Charlotte, NC 28212

Rest/Nursing Homes · NC permit/State ID 2060400155

Latest result92.5 / 100

Last inspectedJun 25, 2026

Inspections on record14

On record sinceFeb 28, 2019

Score history

Feb 28, 2019Higher is betterJun 25, 2026

Inspections & violations

Jun 25, 2026 92.5 / 100 · 9 violations

Inspector comments: 500 hall is closed and is scheduled to be remodeled over the next year. Facility is also working on plans for repair/remodel to other areas of the building. Library ceiling sprinkler system leaked and was being repaired during inspection.

#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 floor damage in 400 hall nourishment room. Needs cleaning/repair. REPEAT VIOLATION. Points reduced due to repair of items on previous inspection and repair schedule.

#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 build up on some ceiling tiles surrounding A/C vents. Observed stained ceiling tiles in 100 hallway. Observed door to bathroom in 107 and 410 damaged. Observed ceiling stained in room 202. Needs cleaning/repair. REPEAT VIOLATION.

#5 · Ventilation equipment clean, good repair

General Comment: .1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed build up on A/C in 410 and 101. 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 shower bed pad with heavy tearing in 100 spa. Observed tub in 100 spa with brown build up. Observed hoppers in biohazard rooms with heavy build up. Needs repair/replacement and cleaning. REPEAT VIOLATION.

#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 large rolling bins that contain soiled linen and trash stored in shared spa room. REPEAT VIOLATION.

#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected −0.5

.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 and bed pans not labeled in rooms within facility. REPEAT VIOLATION.

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

General Comment: .1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair. Observed pink build up in ice machine in 100 hallway. Needs cleaning.

#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 tears in pillows in 101.Needs replacement. Observed Geri chair in 100 hallway in need of cleaning. REPEAT VIOLATION. Points not increased due to improvements from last inspection.

#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 100 hall nourishment room refrigerator and 400 hall microwave. REPEAT VIOLATION.

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Nov 25, 2025 92 / 100 · 9 violations

Inspector comments: Facility changed Permittee name from Accordius Health at Charlotte LLC to Eastland SNF Operations LLC as of June 27, 2025 but is operating under the same license. 500 wing of facility is currently closed and going through an update/remodel.

#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 cracked floor tile in A wing nourishment room. 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 crack in therapy room kitchenette. Observed minor damage to walls in rooms throughout facility. Needs repair/touch up paint.

#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 bed mat torn in A wing shower. Observed some minor build up in A wing tub. Observed minor chipping on toilet seat in 107. Needs cleaning/repair. REPEAT.

#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 large rolling bins that contain soiled linen and trash stored in both shared spa rooms. REPEAT VIOLATION.

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

General Comment: .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 a couple urinals and bed pans not labeled in rooms within facility.

#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 facility had parts of back up water supply plan such as drinking water, washing dishes, and flushing toilets spread out through multiple documents. Facility is missing some parts to back up water supply plan. EHS emailed a template for a back up water supply plan to facility management.

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

General Comment: .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 torn fall mat and heavily worn mattress in 113. Observed worn furniture in 201. Observed upholstery damage on chair in 107. Needs repair/replacement.

#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 refrigerator and microwave in need of cleaning in Activity room and some nourishment rooms. Observed cabinets in need of cleaning in A wing nourishment room. 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 food in A wing nourishment room refrigerator with either name or date label. Needs both name and date label. REPEAT.

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Jun 24, 2025 94 / 100 · 7 violations

Inspector comments: Name changed from Eastland Nursing to Redwood Nursing & Rehabilitation. Per license displayed from NCDHHS, ownership is still “Accordius Health @ Charlotte, LLC” Report emailed to administrator, Don Brown at: dbrown@redwood-hr.com

#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 damaged to floor tiles in both nourishment rooms within facility. Repair.

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

.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 2 lights not functioning in room 306 restroom. Repair. -General comment.

#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 306. Observed 2 shower wands in shared spa room on “B wing” broken. Observed blue shower mat located in “A wing” shared spa room beginning to tear. Replace. REPEAT VIOLATION.

#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 large rolling bins that contain soiled linen and trash stored in both shared spa rooms. REPEAT VIOLATION.

#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. .1314 (c) Ice shall be protected against physical, chemical, and biological contamination and shall be kept clean. Observed ice chest stored unattended on B hallway. 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 and freezer stored in nourishment room on B hallway. Observed general cleaning needed to microwave stored in A hallway nourishment room.

#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 stored in refrigerator in nourishment room on B hallway not labeled with name/date. REPEAT VIOLATION.

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Dec 12, 2024 93 / 100 · 11 violations

Inspector comments: *NOTE: Head of Maintenanace, David, was present during time of inspection. Report emailed to: Ccecil@eastlandnc.com Ndessalines@eastlandnc.com

#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 floor tile chipping in room 213. And floor damage sporadically throughout facility (nourishment rooms, storage closets).

#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 stained ceiling tile outside of therapy room. Observed ceiling damage in room 300.

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

#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 big rolling barrels that contained trash and soiled linen stored in shared spa rooms on “A” and “B” hallways. .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 posted in common toilet room located on “B” hallway.

#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 a couple urinals not labeled in rooms within facility. improvement made from previous report. -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 soap at handsink in room 100. Soap was supplied to hand sink during time of inspection. Observed no paper towels at handsink in shared spa located on “A” hallway.

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

.1314 (c) Ice shall be protected against physical, chemical, and biological contamination and shall be kept clean. Observed ice stored on rolling cart stored on “A” hallway unattended upon EHS arrival to complete inspection. -General comment.

#23 · Solid waste containers properly constructed, covered where required; good repair −0.5

.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 outside dumpster lid opened during time of inspection.

#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 litter and debris surrounding dumpster area.

#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −0.5

.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 not properly labeled stored in nourishment room refrigerator on “A” hallway. Observed outside food not labeled in activity kitchen.

#45 · Hot and cold holding equipment provided; thermometers provided, accurate −0.5

.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 within reach in refrigerators stored on both A and B hallways nourishment rooms.

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Jun 26, 2024 94.5 / 100 · 8 violations

Inspector comments: *NOTE: Laundry room was closed during time of inspection due to renovations. Per Executive Director, all laundry is currently being outsourced to their sister facility. Director Cam Cecil was present during time of inspection. Report emailed to the following: Ccecil@eastlandnc.com

#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 need of repair in nourishment rooms on both A and B hallways. Observed flooring chipped near toilet in room A212.

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

#5 · Ventilation equipment clean, good repair

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed removable vents in AC units with dust accumulation throughout facility.

#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 debris under blue shower mat in shared spa on A hallway. Observed general cleaning needed to tub in shared spa on A hallway, per conversation with administration that tub is not used, EHS advises facility to keep unit cleaned even if it not used.

#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 bags of laundry stored in shared spa rooms. Observed rolling carts containing trash and soiled linen stored in shared spa rooms within facility.

#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 urinals throughout facility not labeled to be associated with an individual resident.

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

.1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair. Observed pink build up on ice machine chute in nourishment room on A hallway.

#23 · Solid waste containers properly constructed, covered where required; good repair −0.5

.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 dumpster lid opened and debris surrounding dumpster.

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Dec 20, 2023 96 / 100 · 7 violations

Inspector comments: *NOTE: Director of Nursing, Nirva Dessalines, and Head of Maintenance, David, were present during time of inspection. Report emailed to the following: Ndessalines@eastlandnc.com Ccecil@eastlandnc.com

#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 touch up paint needed to walling and door frames throughout facility. Facility is currently in the process of repainting according to Head of Maintenance. Improvement have been made from previous inspection report.

#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 large soiled bins and trash bins stored in shared spa rooms throughout facility.

#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 ranging between 99F-100F at handsinks throughout facility.

#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 cart stored on 300 hallway unattended. .1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair. Observed ice machine in nourishment rooms out of order. (Work orders have been submitted to have ice machines repaired).

#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 dumpster lid opened during time of inspection. PIC of kitchen closed dumpster lid.

#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 plastic flooring of refrigerator detached from unit in nourishment room located on 100 hallway.

#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 300 hallway nourishment room. Thermometer was supplied to refrigerator unit during time of inspection.

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Jun 30, 2023 90 / 100 · 17 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. Repeat-flooring in disrepair in A wing common bathroom, nourishment rooms and soiled utility rooms.

#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. Repeat- Observed paint chipping on door jambs. Ceiling water damaged near front desk. Incomplete ceiling and wall repairs throughout. Wallpaper lifting in beauty salon.

#3 · Ceiling attachments cleanable, clean, good repair

.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair. Observed air vents and light fixture covers with build-up dead bugs, service hallway. Wing B spa- lighting ballasts look separated from ceiling. Make sure fixture is completely secured to ceiling

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

#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. NEW RULE

#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 any many dispensers throughout. Beauty salon hand sanitizer dispenser broken. Replace and make hand sanitizer available.

#12 · Bathing facilities properly equipped, equipment cleaned and disinfected −1.5

.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. Repeat-Observed shower bed with trash and debris below mattress.

#15 · No cross-connections observed −1

Observed backflow preventers missing on shower wands in spa rooms (4 of 7)

#18 · Drinking fountains clean, good repair −0.5

.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed A wing water fountain with divergent stream, splattering onto carpet

#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 machines with build-up on guard. .1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair. Observed cracked ice scoop

#28 · No pest presence; effective pest control measures

.1317 (a) Openings to the outside of an institution's building or buildings shall be equipped with self-closing doors that are flush with the door frame when closed, closed windows, window screening on windows that can be opened, or controlled air currents to prevent pests from entering the building or buildings. Observed gaps at bottom of doors to dumpster.

#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 frayed mattress in room 110. Torn pillow in room 104. Soiled divider curtain room 104.

#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled −0.5

.1319 (b) Bed linens that are provided by the institution for use by residents shall be free from holes and tears. Observed frayed linens provided by institution in room 110.

#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 refrigerators and microwaves in nourishment rooms with spills and splatters

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

.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. Observed disposable water cups for resident rooms being filled with water from hand sink in nourishment room. Hand sinks cannot be used to provide drinking water (exception-residents can use the hand sink in bathroom to acquire drinking water

#51 · Proper use of restriction, exclusion, and reporting

.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. NEW RULE

#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. NEW RULE

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Nov 30, 2022 82.5 / 100 · 12 violations

Inspector comments: #7. Smoking rooms shall be ventilated to prevent environmental tobacco smoke from moving into other portions of the building. 15A NCAC 18A .1311 (e). Smoking shall be limited to designated smoking areas. 15A NCAC 18A .1311 (e). Observed residents smoking in designated outside smoking area near therapy room and cigarette smoke drifting back into the facility. HIGHLY RECOMMEND PLACING DESIGNATED SMOKING AREA FURTHER AWAY FROM THE EXIT DOOR! #21. All solid wastes containing food scraps or other decomposable materials shall, prior to disposal, be kept in leak-proof, non-absorbent containers, which shall be kept covered with tight fitting lids when filled or stored, or not in continual use. 15A NCAC 18A .1316 (a). Clean grounds around dumpster area. #26. There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c). Clean leaves from gutters around entire facility. #35. Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Replace missing arm rest on wheelchair provided by the facility. #43. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Replace missing thermometer in medicine refrigeration unit in med room. Keep rooms and bathrooms clean in unoccupied part of facility. You may call to request a regrade when ready @(980)314-1620

#1 · Floors easy to clean, no obstacles, drains where needed −1

Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Floors shall be free of obstacles to cleaning. 15A NCAC 18A .1309 (a). Observed flooring damaged in nourishment rooms and storage rooms. Replace missing and damaged floor tiles in nourishment rooms and secure loose carpeting in storage rooms.

#2 · Floors clean, carpet clean, dry, odor free −1

Keep all flooring clean. 15A NCAC 18A .1309 (a). Thoroughly clean flooring in residents rooms near PTAC( heating and cooling units) and near entrance to residents bathrooms, storage rooms, storage area and closets.

#3 · Walls and ceilings cleanable, clean, good repair −2

Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Repair any and all roof leaks throughout facility (occupied and non occupied side). Repair damaged ceiling throughout in residents rooms, storage rooms, library, etc. Patch holes in walls throughout and repaint (residents rooms, storage rooms, biohazard rooms, bathrooms,etc.

#4 · Lighting at least 10 foot candles 30 inches above floor −1

All areas shall have sufficient illumination. Maintain 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. 15A NCAC 18A .1311 (a). Replace light bulbs not working in light fixtures throughout or replace damaged light fixtures throughout facility. (residents bathrooms, storage rooms, dining room area, etc. rooms in unoccupied part of building that is also being used for storage.

#5 · Ambient air temperature 65 to 85 F, equipment clean −2

Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed PTAC units soiled throughout (top of unit, front of units and filters on units.) Thoroughly detail clean PTAC units throughout in all rooms. Replace damaged filters on PTAC units.

#8 · Facilities conveniently located, clean and in good repair −2

Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower bed padding, shower chairs, shower curtain, underside of mess on shower bed soiled in common shower. Thoroughly clean and disinfect bathing items. Clean shower curtain regularly and when visibly soiled.

#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5

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). Observed many disposable bed pans not labeled throughout in shared bathrooms between rooms. During discussion with admin; I was informed that staff dispose of the urine from urinal in the bathroom within the room and then the urinals are rinsed out at the hand washing sink in the bathroom. Do not rinse or clean urinal at hand washing sink in resident room. Rinse and clean urinal at hopper bin/toilet in biohazard room. Recommend labeling disposable urinals, emises basin and disposable pink wash containers in rooms. Observed many disposable urinals, emises basin and wash basin in shared bathroom between rooms. HOW DO YOU KNOW WHICH RESIDENT IS USING THEIR URINAL, EMISES BASIN OR WASH BASIN IN SHARED BATHRROMS BETWEEN ROOMS?

#19 · Ice protected, dispensed, equipment clean in good repair −2

Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b). Thoroughly clean interior of both ice machines on 100/200 hall and 300/400 hall nourishment. Observed interior of ice machines soiled. Observed ice scoops stored in soiled container in nourishment room on 200/300 hall.

#28 · Adequate storage, area clean, items properly stored −1

All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). Observed patient care items stored on the floor in storage rooms. Store patient care items on shelving in storage rooms. Clean and organize all storage areas, spaces, rooms, physical therapy (storage), rooms in unoccupied part of build that is not being used, etc.

#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1

Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). Stored cups on med carts to prevent contamination and cross contamination. Stored cups below rim of storage area on side of med cart. Clean base of plastic bags where med cups are stored. Observed debris and pills in base of plastic bag.

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2

All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed damaged mattresses and pillows throughout in rooms. Observed damaged and soiled dresser in resident rooms. Observed side railing area on beds throughout facility soiled. Replace damaged furniture and fixtures and thoroughly clean cracks and crevices of bed framing throughout in rooms. Replace damaged tray on walker used in physical therapy room. Thoroughly clean lower blue padding on walker tray in physical therapy room.

#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −2

Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed linen bin not covered/protected on the hallway area. Observed clean linen uncovered in shared storage room. Observed no record of the amount of chlorine provided during the wash cycle. Please provide records from laundry vendor.

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Jun 27, 2022 85.5 / 100 · 13 violations

Inspector comments: #10-All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c). Observed very soiled urinal in bathroom of room 107 #18-Label all disposable water pitchers with the resident's/patient's first name and last name. 15A NCAC 18A .1314 (a). Observed water pitchers not labeled in rooms 412 and others. #21-All solid wastes containing food scraps or other decomposable materials shall, prior to disposal, be kept in leak-proof, non-absorbent containers, which shall be kept covered with tight fitting lids when filled or stored, or not in continual use. 15A NCAC 18A .1316 (a). Observed trash on ground behind and around dumpster. #36-Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). Observed microwaves in both nourishment rooms need replacing. Secure any loose handrails. Call for reinspection when ready 980-314-1620

#1 · Floors easy to clean, no obstacles, drains where needed −1

Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Observed flooring in disrepair in nourishment room. Shower needs regrouting in floor/wall junction. Floor tiles missing in conference room

#3 · Walls and ceilings cleanable, clean, good repair −2

Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Repeat-Observed walls damaged and need repair in laundry, rooms where soap or paper towel dispensers a have been replaced or moved. Ceiling in disrepair in family meeting room.

#5 · Ambient air temperature 65 to 85 F, equipment clean −1

Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed dirty filters in PTAC units throughout. Missing PTAC filters in room 104

#8 · Facilities conveniently located, clean and in good repair −1

Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed torn shower bed, both shower beds with build-up in gaps. Undersides of shower chairs and shower curtains soiled. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed torn toilet seat in room 107. Hoppers need regular cleaning. Observed loose handrail in spa.

#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5

Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). Observed missing soap and/or paper towels throughout facility. Keep all hand sinks properly stocked.

#17 · Water fountains clean, good repair, properly regulated −1

Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed dirty water fountains, need cleaning, even if not operable.

#19 · Ice protected, dispensed, equipment clean in good repair −1

Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b). Observed pink growth on end of ice shield, nourishment room.

#28 · Adequate storage, area clean, items properly stored −0.5

Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). Observed broken bins for storage. Storage rooms, cabinets and drawers in storage rooms, med rooms, etc need cleaning and organizing.

#31 · Feeding syringes and oral suction catheters handled properly, tube-feeding bags changed per instructions −1

Feeding syringes which are reused shall be labeled with the patient's name and date opened, shall be disassembled and rinsed after each use, and shall be disposed of within 24 hours of first use. 15A NCAC 18A .1318 (d). Room 412-Observed bag not labeled with date and time opened. Observed syringe not rinsed, disassembled before putting back in bag.

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2

All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Repeat- Observed many torn pillows throughout facility. Torn mattresses in rooms 304 and 208. Torn arm on Geri chair.

#33 · Linen changed when soiled. Soiled linen handled properly −1

Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed soiled/frayed linens on beds in several rooms.

#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1

Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed clean linens stored with non-linens in clean linen rooms. All common linen including sheets, pillow cases, absorbent pads, towels, and wash cloths provided by the facility must be sanitized between users with an EPA registered laundry sanitizer or by other methods described in 15A NCAC 18A .1319 (b). Observed no records for amount of chlorine going into washing machines.

#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5

Patient contact items that become contaminated during use shall be cleaned and disinfected after each use or disposed of. 15A NCAC 18A .1319 (c). Observed in spa rooms cabinets had single use and skin contact products stored together. Bar soap, roll on deodorant, razors, nail files, nail clippers, combs and brushes should not be stored all together for using on multiple residents when they are bathed.

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Jul 8, 2021 95.5 / 100 · details not yet loaded