Sep 21, 2026
7 demerits
· 3 violations
#2 · Floors and carpets in good repair −1
15A NCAC 18A .1607 All floors shall be kept in good repair.
Observed one floor piece missing in doorway of bathroom 2. Needs repair.
#8 · Facilities clean and in good repair −4
15A NCAC 18A .1610 (a) Residential care facilities shall provide toilet, handwashing, and bathing facilities that are available for use by residents and employees that are kept clean and in good repair.
Observed pink build up in bathroom 1 shower head and some build up around edges of the shower. Needs cleaning.
#23 · Furnishings in good repair −2
15A NCAC 18A .1617 (a) Furnishings, including furniture, curtains, draperies, and blinds, shall be kept in good repair. Mattresses shall be kept in good repair. Observed kitchen cabinet missing a door. Observed mattress in one bedroom peeling. Observed mattress in one bedroom with large and deep bend in the middle of one side. Needs replacement.
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Sep 29, 2025
8 demerits
· 3 violations
#8 · Facilities clean and in good repair −4
15A NCAC 18A .1610 (a) All residential care facilities shall provide toilet, handwashing, and bathing facilities that are available for use by residents and employees. These facilities shall be kept clean and in good repair. Observed pink build up on the bottom of shower curtain in bathroom 2. Observed minor build up on shower tiles and door in bathroom 1. REPEAT
#23 · Furnishings in good repair −2
15A NCAC 18A .1617 (a) Furnishings, including furniture, curtains, draperies, and blinds, shall be kept in good repair. Mattresses shall be kept in good repair. Observed doors missing on kitchen cabinets. Needs repair.
#38 · Temperature indicating device provided and accurate −2
15A NCAC 18A .1620 (c) Cold holding equipment shall be provided with an indicating thermometer that is accurate to +/-3 degrees F. Observed no thermometer in refrigerator. Needs thermometer.
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Nov 5, 2024
7 demerits
· 4 violations
#4 · Walls, ceilings, and attachments in good repair −1
15A NCAC 18A .1608 (b) Wall (doors, windows and window trim) and ceilings and ceiling attachments (light fixtures, fans, and vent covers) shall be kept in good repair. Observed paint peeling in room bedroom 2. Observed minor touch up paint needed throughout facility.
#8 · Facilities clean and in good repair −4
15A NCAC 18A .1610 (a) All residential care facilities shall provide toilet, handwashing, and bathing facilities that are available for use by residents and employees. These facilities shall be kept clean and in good repair. Observed pink build up on the bottom of shower curtain in bathroom 1. Observed minor black build up on shower tiles in bathroom 2. Observed brown build up under toilet lid in bathroom 2.
#22 · Furnishings clean −2
15A NCAC 18A .1617 (a) Furnishings, including furniture, curtains, draperies, and blinds, shall be kept in good repair. Mattresses shall be kept in good repair. Observed laminate behind 2 compartment sink in kitchen with black build up and peeling and in need of repair.
#43 · Vomitus and diarrheal clean up supplies; written plan available
15A NCAC 18A .1621(d) the residential facility shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent onsite for employees to use and a written procedure for employees to follow when responding to a vomitus or fecal matter on facility surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guest, food, and additional surfaces to vomitus or fecal matter. EHS emailed facility new rules, new required vomit/diarrhea plan, and employee health policy. -General comment.
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May 11, 2021
3 demerits
· 2 violations
#8 · TOILET: HANDWASHING: LAUNDRY AND BATHING FACILITIES: Toilet, lavatory and bathing facilities adequate 4; fixtures in good repair and kept clean 2; soap and towels provided 2 (.1610) −2
Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed black build up inside the caulking of shower in bathrooms 2 and 3. Clean.
#12 · WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) −1
The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed minor scuff marking to walls behind furniture throughout facility.
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Oct 15, 2020
6 demerits
· 2 violations
#8 · TOILET: HANDWASHING: LAUNDRY AND BATHING FACILITIES: Toilet, lavatory and bathing facilities adequate 4; fixtures in good repair and kept clean 2; soap and towels provided 2 (.1610) −2
Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed loose toilet seat in restroom 2. Observed black build up on the bottom of shower curtain in restroom 2. Observed black build up inside the caulking of shower in restroom 3.
#9 · BEDS: LINEN: FURNITURE: All furniture, mattresses, linen, drapes, blinds and similar items in good repair and clean 2; bed linen changed as required 2; clean and soiled linens properly stored and handled 2 (.1617) −4
All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed pillow stained in room 2. Observed mattress peeling in room 3 (Marks room). Observed minor staining on mattress in room 6.
Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).
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Jul 8, 2019
6 demerits
· 2 violations
#8 · TOILET: HANDWASHING: LAUNDRY AND BATHING FACILITIES: Toilet, lavatory and bathing facilities adequate 4; fixtures in good repair and kept clean 2; soap and towels provided 2 (.1610) −2
Observed black buildup in the grout in the walkin shower. Clean.
Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).
#9 · BEDS: LINEN: FURNITURE: All furniture, mattresses, linen, drapes, blinds and similar items in good repair and clean 2; bed linen changed as required 2; clean and soiled linens properly stored and handled 2 (.1617) −4
-Observed a torn mattress in bedroom 3 and a large stain on the mattress in bedroom 5. Replace or provide a fully enclosed mattress cover.
All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).
-Observed a clean comforter stored on the closet floor in bedroom 3 and clothing on the closet floor in bedroom 2.
Clean linen shall be stored and handled in a sanitary manner and separate from soiled linen. 15A NCAC 18A .1617 (c ).
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