CADENCE HUNTERSVILLE

REPEAT .1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels available for proper hand washing at the sink in memory care C-9, C-2, C-5. Some other rooms visited were fully supplied. Ensure to provide all handwashing supplies at all hand sinks at anytime for staff and/or residents for hand hygiene.

General Comment: .1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed soiled or rusted microwave need cleaning or replacing in memory care dining room. Keep all equipment clean and in good repair. -0 pts-

General Comment: .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 water damage on cabinet/counter at hand sink in memory care dinning room. Repair needed. Keep in good repair.

REPEAT .1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed majority, no paper towels available at handwashing sink in bathroom throughout AL and memory care. Observed no soap and paper towels at laundry room hand sink in memory care. All hand washing sinks shall be provided soap and paper towels/hand drying devices at all time. Please ensure to refill hand washing supplies as they run low or out. Points remain the same at this time. Maintenance director had all the supplies ready to be distributed in each apartments, and the facility shall keep all hand sinks supplied for hands hygiene.

REPEAT .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 resident and staff container of foods in refrigerator first and second floor AL with no labeling. Ensure to label both name/initial and date that items brought in. TCS food can only be stored up to seven days. Ensure to keep staff and residents food separate and no cross contamination at anytime.

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 water stained on ceiling and wall in bathroom above shower A1. Repair needed.

REPEAT .1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels available at handwashing sink in bathroom A1, B5, D2, C2, and dinning room in memory care. Observed no soap available at the dispenser in bathroom C7, and dining room in memory care. All hand washing sinks shall be provided soap and paper towels/hand drying devices at all time. Please ensure to refill hand washing supplies as they run low or out. Points remain the same due to improvement.

REPEAT .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 one dumpster missing a drain plug. Obtain a dumpster drain plug and put in placed to prevent pest/rodents.

General Comment: .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 resident containers of salad in refrigerator second floor AL with initial. Ensure to label both name/initial and date that items brought in.

REPEAT 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 activity closets, Memory care hallway, laundry room both AL and memory care need cleaning and keep clean to avoid escalation of point in future. Point remain the same at this time.

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 soiled toilet in E2, D8, stained hand sink in C6, Soiled hand sinks throughout the facility (hallway restrooms, hallway sinks, AL & Memory cafe, A2, B7, F10, E2, D8). Observed pink mildew under floor mat in bath E2, Detain cleaning needed and keep clean. Observed slow drain at hallway hand sinks throughout the next to AL cafe, repair needed.

REPEAT .1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed handwashing sink in AL residence rooms without paper towels and/or soap for employees/visitor to clean their hands while helping. Only soap dispenser available in memory care residence room, no paper towels. Observed no paper towels available in at hallway hand sink next to AL cafe and at the double sink in AL cafe. Observed no soap and paper at hand sink in Memory care laundry room. All hand washing facilities shall be provided soap and paper towels/hand drying devices at all time.

.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 debris, solid wastes piling up behind a dumpster, a dumpster is missing drain plug, lid left open on green dumpster. Keep all doors/lids close when not in active use. Obtain a dumpster drain plug. Clean and clear dumpster area to avoid pest/rodent harboring.

REPEAT .1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed soiled refrigerator and microwaves, bottom of stove in AL and Memory care cafe. Keep all food service equipment clean. Observed cleaning needed for all the food service equipment in AL cafe closet. Organize and remove items from storing on the floor.

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 underneath hand sink in craft room, activity closets, laundry room in memory care need cleaning and keep clean.

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 soiled toilet and hand sink in E6, Soiled hand sink here and there throughout the facility. Need better cleaning and keep clean.

General Comment: .1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed almost of all handwashing sink in residence rooms without paper towels and/or soap for employees to clean their hands as well. Only soap available in memory care, no paper towels. Provide soap and paper at all hand sinks for hand hygiene.

.1312 (e) EPA registered disinfectants shall be used in accordance with the manufacturer's instructions. When EPA registered disinfectants are mixed and prepared by institution employees, a measuring device, chemical testing device, or the methods and devices prescribed by the chemical manufacturer shall be used to prepare the concentration of chemicals in accordance with the disinfectant's label and the manufacturer's instructions.- Observed housekeeper cleaning and not having knowledge about the contact time of the sanitizing/disinfectanting solution use. EHS educated and discussed the proper procedures at the time of inspection. Ensure to educate all cleaning staff and know how to clean properly and effectively.

REPEAT .1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed detail cleaning needed in refrigerator in cafe 1st floor, dining room in memory care. The bottom of stove in cafe 1st floor and 2nd floor craft room. Keep clean.

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 hole in car by ac unit room C8

.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 scuffs on walls and doors throughout the facility.

.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 in need of cleaning rooms F7, A3, and C14

.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 several rooms water temp reading below 105( C14, C102) no points taken under new rule

.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 several chairs throughout facility cracked( Beauty Salon) and stained.

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair.Observed Cafe 1st floor and Dining Hall fridge in need of cleaning,

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 underneath sink in utility kitchen in memory care accumulating debris in need of cleaning. Observed stained carpet at janitor closet inside memory care unit entrance in need of cleaning.

.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 damage inside two bathrooms (E hall) and B hall (spa) in need of re-painting / repair.

NO POINTS DEDUCTED .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 no disinfected accessible during inspection. CDI disinfectant provided during inspection.

Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed heavily stained carpet on 2nd floor near nursing station in need of cleaning.

Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed walls damaged inside shower basin in resident room #A6 and #A1 caused potentially by leak above ceiling, (repair leak if needed and repair / repaint wall in shower basin).