Sep 15, 2026
9 demerits
· 4 violations
#4 · Walls, ceilings, and attachments in good repair −1
15A NCAC 18A .1608 (b) Wall and ceiling attachments, such as light fixtures, fans, and vent covers, shall be kept in good repair. Observed touch up paint needed to walling in residents rooms.
#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 bottom of shower curtain liner with brown build up. Clean/replace.
#19 · Prevention of harborage conditions; premises clean −2
15A NCAC 18A .1615 (a) The external premises of a residential care facility shall be kept clean, and free of litter and pest harborage. Observed dilapidated furniture stored outside near dumpster. Remove.
#30 · Equipment non-food contact sides clean −2
15A NCAC 18A .1618 (a) All food service equipment and utensils shall be kept clean. Observed minor debris build up to shelving in refrigerator and pull out drawer in freezer. Clean.
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Sep 11, 2025
3 demerits
· 3 violations
#4 · Walls, ceilings, and attachments in good repair −1
15A NCAC 18A .1608 (b) Wall and ceiling attachments, such as light fixtures, fans, and vent covers, shall be kept in good repair. Observed blue wall paint peeling in room 1 located on level 1.
#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 mattresses topper peeling in room 1 located on level 2.
#43 · Vomitus and diarrheal clean up supplies; written plan available
15A NCAC 18A .1621 (d) The residential care facility shall have personal protective equipment on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on facility surfaces. The procedure shall specify the actions that should be taken to minimize the exposure to vomitus or fecal matter. Facility did not have copy of required procedure plan. EHS emailed facility copy of required procedure plan. -General comment.
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Aug 23, 2024
6 demerits
· 5 violations
#1 · Floors and carpets kept clean −2
Observed carpet in need of cleaning in bedrooms 1 and 2.
**15A NCAC 18A .1607 All floors shall be kept clean and in good repair.
#2 · Floors and carpets in good repair −1
Observed bathroom floor upstairs in need of repair. Observed carpet frayed at the top of the stairs.
**15A NCAC 18A .1607 All floors shall be kept clean and in good repair.
#4 · Walls, ceilings, and attachments in good repair −1
Observed wall in need of repair in bedroom 3. Observed ceiling and wall in need of repair in the bathroom downstairs.
**15A NCAC 18A .1608 (b) Wall and ceiling attachments, such as light fixtures, fans, and vent covers, shall be kept clean and in good repair.
#3 · Walls, ceilings, and attachments clean
Observed vent cover missing in bedroom 1.
**15A NCAC 18A .1608 (a) The interior walls and ceilings, including doors, window, and window trim, shall be kept clean and in good
repair.
#23 · Furnishings in good repair −2
Observed dresser under the bed in need of repair. Observed cabinet knob missing in both bathrooms. Observed curtain torn in bedroom 1.
**15A NCAC 18A .1617 (a) Furnishings, including furniture, curtains, draperies, and blinds, shall be kept clean and in good repair.
Mattresses shall be kept clean, dry, and in good repair.
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Aug 9, 2023
3 demerits
· 2 violations
#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) −2
Observed knob missing on dresser and mattress cover staining in bedroom 1.
**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).
#12 · WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) −1
Observed wall damage in bedroom 1 and bedroom 3. Observed wall railing missing and door frame in need of repair in bedroom 2. Observed ceiling peeling in the bathroom upstairs.
**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.
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Jul 8, 2022
10 demerits
· 3 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) −4
Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b). Observed no paper towels at handsink located in restroom on second floor.
Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed debris build up in tub located on first floor.
#11 · FLOORS: In good repair 1; kept clean 2 (.1607) −3
All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Observed carpet staining throughout facility.
#12 · WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) −3
The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed hole in wall near bed in room 2. Observed hole on outside of closet door in room 2. Observed touch up paint needed to walls and baseboards throughout facility.
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Jun 25, 2021
9 demerits
· 4 violations
#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) −2
Observed dresser handles missing in bedrooms during the inspection. Observed dresser drawers off track in bedrromm 3.
**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).
#11 · FLOORS: In good repair 1; kept clean 2 (.1607) −2
Observed carpet with staining. Observed linoleum torn in the laundry room and downstairs bathroom.
**All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.
#12 · WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) −3
Observed touch up paint needed. Observed black staining on the walls in the bathroom upstairs.
**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.
#13 · LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609) −2
Observed vent cover on the wall near the stairs in need of cleaning.
**Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).
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Nov 6, 2020
7 demerits
· 3 violations
#10 · STORAGE: MISCELLANEOUS: Rooms or areas provided for storage of clothes, personal effects, luggage, supplies and equipment kept clean 2; medications, cleaning supplies, pesticides and other hazardous products properly stored as required 4 (.1616) −2
Observed clothes stored on the floor in bedroom 1. Waiting for basket for resident.
**Rooms or spaces which are provided and used for the storage of clothing, personal effects, luggage, necessary equipment and supplies and for items not in routine use, shall be kept clean. 15A NCAC 18A .1616 (a).
#11 · FLOORS: In good repair 1; kept clean 2 (.1607) −2
Observed carpet staining in bedrooms 1 and 2. Observed linoleum torn in the bathroom downstairs.
**All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.
#12 · WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) −3
Observed ceiling peeling in upstairs bathroom and the kitchen. Observed bacteria growth on the wall in the upstairs bathroom. No exhaust fan present. Observed wall in need of cleaning in the upstairs bathroom.
**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.
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Jul 23, 2019
8 demerits
· 5 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 torn shower liner in the upstairs bathroom. Needs to be repaired.
**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) −2
Observed dresser drawer damaged in room #3. Needs to be repaired.
**All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).
Observed torn blanket in room #2. Needs to be repaired/replaced.
**Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b).
#10 · STORAGE: MISCELLANEOUS: Rooms or areas provided for storage of clothes, personal effects, luggage, supplies and equipment kept clean 2; medications, cleaning supplies, pesticides and other hazardous products properly stored as required 4 (.1616) −2
Observed clothes stored on the floor in rooms #1 and #2. Ensure clothes are not stored directly on the floor.
**Rooms or spaces which are provided and used for the storage of clothing, personal effects, luggage, necessary equipment and supplies and for items not in routine use, shall be kept clean. 15A NCAC 18A .1616 (a).
#11 · FLOORS: In good repair 1; kept clean 2 (.1607) −1
Observed carpet fraying in rooms #1 and #2. Needs to be repaired.
**All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.
#12 · WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) −1
Observed touch up paint needed throughout facility.
**The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.
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Jul 26, 2018
16 demerits
· 7 violations
#4 · FOOD SERVICE UTENSILS/EQUIPMENT: Utensils/Equipment in good repair, clean 4; eating and drinking utensils clean, cleaned after each use; approved facilities 4; clean utensils properly stored 2; substances containing poisonous material not used 6; disposable properly stored/handled, used once 2 (.1618) −4
-Observed the white utensil container in the kitchen drawer collecting debris. Clean.
All containers and clean utensils shall be stored in a clean place. 15A NCAC 18A .1618 (f).
-Observed bowls and plates that are stored in the cabinet as clean with a lot of buildup on them. Remove all and clean.
All multi-use eating and drinking utensils shall be thoroughly cleaned after each usage, and the facilities needed for the operations of washing and rinsing shall be provided. 15A NCAC 18A .1618 (b).
#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 no paper towels at the restrooms nor kitchen handwashing sinks. Provide. Hands must be washed properly before entering the refrigerator.
Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).
#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) −2
Observed badly damaged mattress covers, mattresses, and box springs in several rooms. Downstairs bedroom: rips on the mattress top and the side of the mattress is totally open to where the cushion and springs are exposed-Replace. Bedroom #2: torn mattress cover also with stains- Replace. Double bedroom: box spring badly torn & hole in the mattress cover on the left bed- Replace.
All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).
#10 · STORAGE: MISCELLANEOUS: Rooms or areas provided for storage of clothes, personal effects, luggage, supplies and equipment kept clean 2; medications, cleaning supplies, pesticides and other hazardous products properly stored as required 4 (.1616) −2
Observed clothes piled on the floor in the double room (right side) as well as hanging out of the basket and on the closet floor.
Rooms or spaces which are provided and used for the storage of clothing, personal effects, luggage, necessary equipment and supplies and for items not in routine use, shall be kept clean. 15A NCAC 18A .1616 (a).
#11 · FLOORS: In good repair 1; kept clean 2 (.1607) −1
Repeat: Observed damaged flooring throughout the home- carpets fraying, laminate flooring lifting and or torn. Replace.
All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.
#12 · WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) −1
Observed a hole in the wall in the downstairs bedroom.
The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.
#14 · VERMIN CONTROL: PREMISES: Outside openings effectively screened or otherwise protected against entrance of flying insects, and flying insects absent 4; effective control of rodents and other vermin 4; approved pesticides properly used 4; premises neat, clean, drained and free of litter and vermin harborages and breeding areas 2 (.1615) −4
Observed live roach in the kitchen. Provide pest control.
Effective measures shall be taken to keep insects, rodents, and other vermin out of the residential care facility and to prevent their breeding, harborage, or presence on the premises. 15A NCAC 18A .1615 (a).
Report emailed to awright@echeloncare.com
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