Location: 200 BellaRose Lake WAY GARNER, NC 27529 Facility Type: Nursing Homes Inspection Date: 06/20/2024
Score: 99
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Comments
Points
1.
15A NCAC 18A .1309 FLOORS- In patient room 102, noted stains on the carpet near the bed unit. Except as permitted by Paragraph (b) of this Rule, the floors in an institution shall be made of smooth, nonabsorbent materials and shall be kept clean and in good repair
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2.
15A NCAC 18A .1310 WALLS AND CEILINGS- In patient room 407, noted some scratches along the walls in the bathroom and side bedroom wall. The interior walls of the institution, including doors, windows and window trim, and ceilings shall be kept clean and in good repair.
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8.
15A NCAC 18A .1312 TOILET: HANDWASHING: AND BATHING FACILITIES- Noted handwashing signage missing for the hand sinks located in the 200 and 300 level soiled linen closets. EHS provided handwashing signage for noted areas during inspection.
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11.
15A NCAC 18A .1312 TOILET: HANDWASHING: AND BATHING FACILITIES- In the 300 level Spa room, noted working spray bottle of chemical incorrectly labeled at Triforce Disinfectant. Further investigation determined the chemical substance was of an unknown cleaner solution that was incorrectly labeled. Bedpans, bedside commodes, urinals, shared diaper changing surfaces, and emesis basins that have been used by a resident shall be kept clean and shall be disinfected before use by other residents. EPA registered disinfectants shall be used in accordance with the manufacturer`s instructions.
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15.
15A NCAC 18A .1313 WATER SUPPLY- In the 100 hall Janitorial Closet, noted air gap needed for the drain line connected to the chemical dispenser unit. Noted line comes in direct contact with the mop basin below. An institution`s water supply plumbing shall not include cross-connections as set out in 15A NCAC 18C .0102(c)(8).
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33.
15A NCAC 18A .1319 FURNISHINGS AND LAUNDRY -In the Laundry room, noted a few large soiled linen bins missing lids. Linens that are not clean shall be placed in a covered container or bag devoted to this purpose at the point of use and stored in the covered container or bag until sanitized in accordance with Paragraph (c) of this Rule to contain and minimize aerosolization of and exposure to any waste products. Cover noted soiled linen bins.
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General Comments
Following areas assessed during inspection; Patient rooms 106,103,102, 138,135,132,126,210,205,202,313,308, 407, 408,409, all storage closets, janitorial closets, spa rooms, laundry room, community spaces and nutritional kitchen areas.
Discussed ensuring Vomit and Diarrhea clean-up supplies accessible for all hallways.
Location: 200 BellaRose Lake WAY GARNER, NC 27529 Facility Type: Nursing Homes Inspection Date: 12/20/2023
Score: 98.5
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Comments
Points
7.
15A NCAC 18A .1312 TOILET: HANDWASHING: AND BATHING FACILITIES- In room 203, noted the side corner of the mounted shower seat cushions was torn/ damaged. Ensure all bathing equipment is kept in good repair.
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8.
15A NCAC 18A .1312 TOILET: HANDWASHING: AND BATHING FACILITIES- In room 124, observed a walker stored inside guest room bathroom. Bathrooms shall not be used for storage of items not currently in use.
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9.
15A NCAC 18A .1312 TOILET: HANDWASHING: AND BATHING FACILITIES-In double occupant rooms 204 and 203, noted disposable emesis basins not labeled with guest name. When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. Disposable bedpans, emesis basins, and urinals shall not be used by more than one resident.
0.5
33.
15A NCAC 18A .1319 FURNISHINGS AND LAUNDRY-At the soiled Linen closets, noted containers for soiled linens were missing labels. Linens that are not clean shall be placed in a covered container or bag devoted to this purpose at the point of use and stored in the covered container or bag until sanitized. Such covered containers or bags shall be kept clean between uses and labeled to indicate the contents.
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General Comments
Water Supply Alternative Source- U.S Foods/ Garner Fire/Rescue Inc.
Location: 200 BellaRose Lake WAY GARNER, NC 27529 Facility Type: Nursing Homes Inspection Date: 09/28/2022
Score: 94.5
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Comments
Points
2.
.1309 Floors in oxygen storage room observed with debris build up as well as in theater room. Carpet in 100 hall common area observed with stain in back corner. Carpet in room 108 has debris build up along wall underneath window. Room 301, 310, and 314 has debris build. Spa floor drain has build up. Floors shall be kept clean and in good repair. Please clean debris and remove stains where needed.
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8.
.1312 Toilets in room 301, 310, 314 and 300 hall restroom observed with visible soil. Toilet chair in room 314 soiled underneath. Toilet rooms shall be kept clean. Please clean areas where visible soil is observed.
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9.
.1312 Large wheel chair being stored inside toilet room in room 310. Toilet rooms shall not be used for storage. Please ensure floors are kept free of obstacles and keep equipment out of restrooms.
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19.
.1314 Ice cart left unattended in 300 hall common area, therefore is not protected against potential contamination. Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. Ice machines, buckets, other containers and scoops
shall be maintained in good repair and shall be protected from the elements, splash, drip, dust, vermin, other
contamination, and from use by unauthorized personnel. Ice machines and storage chests which are accessible to
patients or the public shall provide ice through automatic ice dispensing equipment which prevents the
contamination of stored ice. Keep ice cooler behind nurses station or inside blocked off food areas to reduce chance of contamination.
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28.
.1318 Toilet paper and paper towels which will contact employee or patient are stored underneath chemicals. Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture and supplies, and kept clean.
0.5
30.
.1318 Medication carts observed with debris build up in crevices inside of drawers. Medication carts shall be cleaned when visibly soiled. Please clean cracks and crevices inside drawers of medication carts.
1.0
31.
.1318 Feeding syringe not properly labeled with patients name and date opened and staff was unable to locate this information in their online system for the patient. Feeding syringes which are reused shall be labeled with the patient`s name and date opened, shall be disassembled and rinsed after each use, and shall be disposed of within 24 hours of first use.
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32.
.1319 Stained chairs observed in 100, 300 and 400 hall common rooms as well as in the theater room. Dust build up along base of beds observed in room 301. Side table in room 310 has debris build up along outside of drawers. Patient neck pillows in room 301 and 108 observed with visible stains. All furniture shall be kept clean and in good repair. Please clean stains and chairs that have build up.
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44.
.1323 Food items observed being stored directly on floor on Administrative Hall inside storage room. Containers of food shall be stored above the floor, on clean racks, dollies, slatted shelves, or other clean surfaces in a manner as to be protected from splash or other contamination. Maintenance moved these items to shelving.
Location: 200 BellaRose Lake WAY GARNER, NC 27529 Facility Type: Nursing Homes Inspection Date: 06/08/2022
Score: 99
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Comments
Points
13.
the first hand wash sink that was used in the facility this morning was greater than 116 degrees. Lavatory and bathing hot water shall be between 100 and 116 degrees. Patrick the maintenance person tweaked down the water to reach 100-116 degrees.
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General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 200 BellaRose Lake WAY GARNER, NC 27529 Facility Type: Nursing Homes Inspection Date: 12/29/2021
Score: 99
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Comments
Points
28.
Patient contact items including shampoo, gloves and single service cups stored in the dirty linen room. Single service spoons stored under hand sink in the Season`s wing medication room. Feeding tubes are stored under the hand sink in the Courtyard medication room. Patient mattresses stored in the can wash. All patient care or consumable items shall be stored at least eight inches above the floor to prevent water contamination from cleaning floors and shall not be stored below exposed sewer lines. The above items were moved to clean dry location on shelving during the inspection.
0.5
44.
Apple juice supplement stored on the floor in the soiled utility room. Store food off the floor. Apple juice supplement was moved out of the soiled utility room onto shelving during the inspection.
0.5
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting. No signature of recipient due to COVID-19 pandemic.
Location: 200 BellaRose Lake WAY GARNER, NC 27529 Facility Type: Nursing Homes Inspection Date: 04/27/2021
Score: 100
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Comments
Points
12.
No paper towels at the hand sink in the season's medicine room. Provide paper disposable paper towels at hand sinks or a hand drying device. Paper towels were provided by the end of the inspection.
0.0
General Comments
No signature of recipient due to COVID-19 pandemic. Email to REHS how many parts per million of chlorine is used in the washing machine for linens.
Location: 200 BellaRose Lake WAY GARNER, NC 27529 Facility Type: Nursing Homes Inspection Date: 11/06/2020
Score: 98.5
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Comments
Points
34.
Soiled laundry cart is not labeled. Soiled laundry shall be labeled soiled laundry use only. The soiled laundry cart was labeled during the inspection.
1.0
43.
Refrigerator is 48F in the garden`s medication room. Maintain refrigeration units at 45F and below. The thermostat was adjusted to a lower temperature during the inspection.
0.5
General Comments
No signature of recipient due to COVID-19 pandemic.
Location: 200 BellaRose Lake WAY GARNER, NC 27529 Facility Type: Nursing Homes Inspection Date: 09/12/2019
Score: 98.5
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Comments
Points
13.
Room 303 (82-88 F), Room 209 (82 F), and Room 126 (74-76 F)did not have adequate hot water in the lavatories. Hot water of at least 100-116 degrees F must be provided at lavatories.
1.0
34.
There is no record to document that the laundry is being effectively sanitized when it is washed. Have the company that provides the equipment provide documentation of this or test for effectiveness by other means.
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35.
Patient contact items were observed being stored in boxes on the floor in the storage closet. Patient contact items must be stored at least 8 inches off the floor. These items were moved during the inspection.
Location: 200 BellaRose Lake WAY GARNER, NC 27529 Facility Type: Nursing Homes Inspection Date: 12/19/2018
Score: 97.5
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Comments
Points
3.
In the Seasons unit in room 125, patch the wall damage next to the red outlet, In the Gardens unit room 202 repair the crack on the wall to the left of the TV. In the Groves in room 109 the molding around the ventilation system needs to be caulked. Walls shall be in good repair.
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5.
In The Gardens unit several rooms had a build up of dust in the ventilation filters. In the Groves and Springs unit two employee restrooms had dusty vents in the ceiling. In room 407 there was a build up of dust in the filters. Keep ventilation equipment in good repair.
1.0
30.
On a couple of medicine carts the plastic medicine cups out of the sleeves were stacked above the rim of the holder. Keep the cups to the rim of the holder on the side of the cart or keep the cups in the sleeves if stacked higher to prevent contamination from hands. Cups were corrected during inspection.
1.0
35.
In the Seasons unit in room 125 the fitted sheets had holes in it. In the Springs unit in room 314 the absorbent pad has holes in it. In the Courtyards unit in room 402 the fitted sheet is worn. All of these items were removed from the beds during inspection. Patient contact items shall be in good repair.
0.5
General Comments
Manager is doing a fantastic job of following the Nursing Home Rules and keeping items in good repair.
Location: 200 BellaRose Lake WAY GARNER, NC 27529 Facility Type: Nursing Homes Inspection Date: 04/30/2018
Score: 100
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Comments
Points
14.
The current disinfectant requires a 10 minute contact time, please consider a product with a lower contact time for disinfecting the bathrooms and spa rooms.
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General Comments
Areas inspected: The Seasons (unoccupied) - RM 129F- handwashing sink 106F and The Gardens (unoccupied) - RM 201 - 113F and spa- 113F), common areas, movie room, hair salon, therapy room, dining areas, janitor closets, kitchenettes on halls, med rooms, nursing stations, storage closets; The Courtyard (unoccupied) - RM 401- 115F; The Springs - Guest Bathroom Room 113F, Rm 315- 112F, RM 312-110, RM 303 - 108; The Groves - RM 106- 111F, RM 105-111F *Melodee Wallace Johnson - 919.609.1783 - melodee.johnson@wakegov.com*
