EAST TOWNE

.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 need to baseboards, door frames, and walling behind beds sporadically throughout facility. Slight improvement from previous inspection.

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust accumulation to removable vents in rooms B30, B31, and A14.

.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 minor black build up to tub flooring in shared bathing room on “A” hallway. Observed loose toilet seat in room B31. Observed black build up to tub wall and floor in room B30. Observed detailed cleaning needed to tub and toilet in room B43. Observed laminate peeling on handsink in room B43. Observed toilet seat peeling in room A28.

.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 2 urinals not labeled in room B43. -General comment.

.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 dumpster. -General comment.

.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 hole in door behind door of room B24. Observed minor touch up paint needed to walling throughout facility particularly behind beds.

.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 B29 and A13. Observed cleaning needed to shower curtain in room B29. Observed black build up on floor of tub in room A30.

.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 shared spa room tubs on both “A” and “B” hallways with debris build up inside of tub basins

.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 minor trash/litter near dumpster area. -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 minor cleaning needed to shelving of dorm sized refrigerator located in room A10. -General comment.

.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following: (1) using a solution of at least 50 parts per million chlorine; or (2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions. Facility has no documentation for notated rule. EHS advises Executive Director to have their machine company, “Consolidated” to start leaving a service report when they come to service machine so that EHS can verify that notated rule is in compliance during time of inspection. -General comment.

1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed floor tiles damaged in laundry room. Observed floor tiles damaged in supply room on “B” hallway. Observed damage to flooring surrounding toilet in room B31.

.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 ceiling damaged in beauty salon and in room B31. Observed wall damaged behind toilet in room B31. Observed wall damage behind toilet in room A13.

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed removable AC vent in need of cleaning in multiple rooms within facility.

.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.

.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 within facility for notated rule. EHS advises facility to start maintaining documentation from servicer. -General comment.

Observed touch up paint needed on the ceiling in the shower in room B35. Observed touch up paint needed in the restroom in room A10. Observed base board in need of repair in room A27. **.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 vent cover in need of repair in the restroom in room B35. GENERAL COMMENT **.1311 (b) Ventilation equipment shall be kept clean and in good repair.

Observed toilet in need of grouting in rooms B35 and A10. **.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 dresser knobs missing in rooms B36 and A10. **.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 laundry room floor in need of repair. **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 touch up paint needed in rooms A36, A35 and B21. Observed wall staining near toilet in room A35. Observed water stained ceiling in bathroom in room A17. **.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 bathroom ceiling vent hanging in room B35. **.1311 (b) Ventilation equipment shall be kept clean and in good repair.

Observed stained toilet in soiled utility room (not being used). **.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 urinal not labeled in room B21. **.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 hot water range between 128-130F. **.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 insect crawling in soiled utility closet. **.1317 (a) Pests shall not be present in an institution's building or buildings.

Observed dressers missing handles in rooms A17 and B35. Observed torn pillow in room B35. **.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 laundry room floor in need of repair. Observed floor in the restroom in B30 with strong odor. **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 ceiling near room A23 in need of repair. Observed shower room on A Hall in need of touch up paint. Observed wall damage near the toilet in room A13. **.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 vent cover in the restroom in rooms A13 and B26. **.1311 (b) Ventilation equipment shall be kept clean and in good repair.

Observed urinal not labeled in rooms A28 and B50. **.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 tub faucet cover missing in room A38. Observed tub faucet missing and toilet in need of cleaning in room A28. Observed shower curtain staining in room A13. Observed tub staining in room B30. **.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 hot water range between 118-119F. **.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 no back-up water supply plan. **.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 dresser handle missing/in need of repair in rooms A38, A28, A13, B26 and B50. **.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.

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 dirty looking and sticky when walking on it though out the facility. Deep floor cleaning needed and maintain clean.

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 holes on wall in bathroom A10, evidence of wall patching here and there. Scraping doors/door frames throughout the facility. Need repair, touch up, repaint, and keep all in good condition. Observed damaged wall behind toilet in room B29. Repair needed and keep in good repair. Observed dusty window trim and all around near air conditioner in most rooms. Need general cleaning and maintain clean. Observed peeling ceiling in bathroom A39, need repair and keep in good repair.

REPEAT .1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed loose toilet seats, need repair or replace. As well as dirty toilets, need cleaning and maintain clean throughout the facility. Some toilets throughout the facility need replace or caulking and maintain in good repair and keep clean. Damaged shower faucet, need repair or replace in room A39, A36, B30. Observed shower chair in room B45 has a cut on the seat, and the leg was not standing up properly. Need to take a look, repair or replace as necessary for safety. Observed stain tub in room B30, need repair. Observed cleaning needed underneath a shower chair in A hall, and maintain clean.

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no paper towel available at the hand sinks in A hall bath, and general storage room next to staff launch in B hall. Paper towel was provided at the time of inspection. ENSURE TO PROVIDE ALL HAND WASHING SUPPLIES AT ALL HAND SINKS AT ALL TIME.

REPEAT .1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed facility without Back-up water supply plan available and complete. The facility did not have it at the last inspection as well. The example of plan emailed to administrator at the time of inspection.

.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed soiled water fountain in B hall, need cleaning. The facility cut water supply off, however the fountain need to kept clean.

REPEAT .1317 (a) Pests shall not be present in an institution's building or buildings. Observed drain flies in women restroom in A hall, in the kitchen near the dishwasher machine, outside the building on the way to the dumpsters. A lot of drain flies in room B45, observed them on bedsheets, throughout the room and bathroom. Room B45 smells like urine. Observed dead cockroaches in Salon room and room 26. Remove dead bugs and keep facility free of pests.

.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 many chairs in common rooms have soiled spots on them. Deep cleaning needed and keep clean. Observed damaged mattress in room B30. Need replacement.

.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed soiled and smelly bed linens in room B45 causing drain flies to be everywhere in the room. ENSURE TO PROVIDE CLEAN LINENS AND CHANGE THEM WHEN NEEDED FOR ALL RESIDENTS.

.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. No point deduction. Employee Health Policy poster provided and discussed with staff and administrators at the time of inspection.

.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. No point deduction. Vomiting and diarrhea procedure poster provided at the time of inspection. EHS inform the facility to obtain a vomiting and diarrhea kit.