Sep 15, 2026
8 demerits
· 4 violations
#2 · Floors and carpets in good repair −1
15A NCAC 18A .1607 All floors shall be kept in good repair. Observed wooden flooring damaged throughout facility.Repair.
#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 in residents rooms. Observed ceiling fan near kitchen with dust accumulation. Clean.
#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 some shower floor tiles missing and black build up to shower tiles in bathroom of room 3. Observed staining to bottom of shower curtain liner in hallway bathroom.
#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 some handles loose to cabinets in kitchen. Observed staining on couch cushions in living room.
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Sep 11, 2025
10 demerits
· 7 violations
#2 · Floors and carpets in good repair −1
15A NCAC 18A .1607 All floors shall be kept in good repair. Observed wooden flooring damaged throughout facility.Repair.
#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. Observd small hole in ceiling in room 1. Observed ceiling plaster peeling in room 2 and 3. Observed touch up paint needed to walling, baseboards, door frames, and window trimming throughout facility.
#6 · Ventilation equipment clean and in good repair −2
15A NCAC 18A .1609 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust accumulation to ceiling vent in living room. Clean.
#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 some shower floor tiles missing in bathroom of room 3. Repair.
#16 · Containers covered, clean, and good repair −2
15A NCAC 18A .1614 (b) Outside waste containers shall be kept covered with tight-fitting lids when not in use. Observed lid missing to outside dumpster.
#23 · Furnishings in good repair
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 loose handles to cabinets in kitchen. -General comment.
#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 a copy of procedure plan. -General comment.
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Aug 23, 2024
8 demerits
· 4 violations
#2 · Floors and carpets in good repair −1
Observed flooring in need of repair in the laundry room.
**15A NCAC 18A .1607 All floors shall be kept clean and in good repair.
#4 · Walls, ceilings, and attachments in good repair −1
Observed walls in need of repair in bedroom 1, bedroom 2 and near the entrance. Observed ceiling in need of repair in bedroom 3. Observed ceiling in need of repair in the laundry room.
**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 handles missing in bedroom 1 and bedroom 2. Observed dresser drawer in need of repair in bedroom 3. Observed blinds in need of repair in the kitchen.
**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.
#24 · Bed linens provided and in good repair −4
Observed torn blanket in bedroom 1. Observed small hole in linen in bedroom 2.
**15A NCAC 18A .1617 (b) Clean bed linen in good repair shall be provided for each resident and shall be changed when no longer clean.
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Aug 9, 2023
5 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) −2
Observed shower tile in need of repair and toilet lid missing in bathroom in bedroom 3.
**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 missing in bedroom 1. Observed cabinet handles missing in bathroom 2.
**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 walls in need of painting and repaired in the home.
**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 15, 2022
17 demerits
· 6 violations
#3 · FOOD SUPPLIES PROTECTION: All food clean, wholesome, no spoilage 6 (.1619) Adequate during storage/preparation/serving, potentially hazardous food 45° or 140°F above 5; refrigerators with temps 2; meat products cooked; meat products handled as required, no re-serving food 4; food stored above floor protected 2; No animals 4 (.1620) −2
An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (a). Observed no thermometer in refrigerator.
#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
All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC 18A .1618 (a). Observed rusting around oven inlets. Observed handle on 1 cabinet loose.
#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
Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a). Observed shower tile cracking on floor in restroom 1. Observed black build up around tub in restroom 2.
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 in both bathrooms.
#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
All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed vinyl blinds broken 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 touch up paint needed to walls and baseboards throughout facility.
#13 · LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609) −2
Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b). Observed detailed cleaning needed to ventilation equipment throughout facility.
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Jun 25, 2021
6 demerits
· 4 violations
#3 · FOOD SUPPLIES PROTECTION: All food clean, wholesome, no spoilage 6 (.1619) Adequate during storage/preparation/serving, potentially hazardous food 45° or 140°F above 5; refrigerators with temps 2; meat products cooked; meat products handled as required, no re-serving food 4; food stored above floor protected 2; No animals 4 (.1620) −2
Observed no thermometer in the refrigerator.
**An indicating thermometer shall be located in each refrigerator. 15A NCAC 18A .1620 (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 handle missing in bedroom w/ bathroom.
**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) −1
Observed markings on floor in first bedroom on the left. Observed floor tile missing in the bathroom within the bedroom. Observed linoleum torn in the laundry room and the kitchen.
**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 in the bedrooms.
**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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Nov 6, 2020
4 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) −2
Observed shower curtain with build up in the bathroom within bedroom 1.
**Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).
#11 · FLOORS: In good repair 1; kept clean 2 (.1607) −1
Observed floor damage in the laundry room and in the kitchen near refrigerator.
**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 ceiling peeling in bedroom 1 and bedroom 2.
**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
7 demerits
· 3 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 missing handles on the cabinets in the kitchen. Needs to be repaired.
**All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC 18A .1618 (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 off track in bedroom #1. 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 on the bed in room #1. 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).
#12 · WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608) −1
Observed touch up paint needed throughout facility. Observed ceiling with water staining in the office where food is stored. Needs to be repaired.
**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 5, 2018
13 demerits
· 5 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
Repeat: Observed handles/ knobs missing from the kitchen cabinets. Replace.
All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC 18A .1618 (a).
#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
-Repeat: Observed the shower grout in both 2nd floor bathrooms with mildew buildup and shower curtain in master bedroom with mildew.
**Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).
-Observed the laminate missing on part of the vanity. Paint or seal the raw wood area.
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
-Repeat: Observed the bed frame damaged in room 2, mattress cover torn on one of the beds in the master, stains on the comforters in bedroom 2.
-Observed webs in the windows/behind the blinds. Clean.
**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 the paint peeling in the hall restroom, master bed room, and master restroom.
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) −2
Observed the grass/weeds really high in the back yard.
The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a).
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