Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 09/19/2024
Score: 98
#
Comments
Points
10.
.1312(d)- Resident handwashing sinks in Rooms 701 and 206 did not have any paper towels available. No soap available at handwashing sink in whirlpool room closest to the front entrance. Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.
1.5
12.
Reminder that if the whirlpool is used (which it currently isn`t) that the pump shall be kept clean in accordance with the manufacturer`s instructions.
0.0
17.
.1313(e)- The facility has a backup potable water supply for consumption but no detailed plan for alternative sources for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. Facility has a letter from U.S.Foods for water supply dated 08/19/2024. The institution shall have a written plan to obtain a backup water supply in the event that the institution`s primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. The amount of water provided for uses other than drinking may be reduced if the plan includes alternatives for water use for services such as laundry and dishwashing. May use relocation as part of plan but relocation facility must be on a different water supply.
0.0
28.
.1317(a)- In cabinet under 2-compartment sink in the activity kitchen, observed rodent droppings. This was the only area throughout the institution that evidence of pests were observed. Pests shall not be present in an institution`s building or buildings. Increase pest control measures to ensure there are no pests in establishment and remove rodent droppings from cabinet.
0.0
32.
.1319(a)- In whirlpool room closest to the front entrance, the curtain divider has accumulated feces. Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair.
0.5
General Comments
**Salon is not currently licensed in this building, so this room gets inspected as part of this inspection. Shared equipment such as the sink and brushes need to be disinfected between residents. Provide guidance to hairstylist on proper cleaning and disinfecting of shared items (brushes, curlers, etc.).
**Back up water in storage closet on 800s hall; State template for Backup Water Supply sent to Director.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 09/27/2023
Score: 97
#
Comments
Points
1.
.1309 (a); The floor under the beds in rooms (such as 205 & 707) have dust/debris/cobweb buildup...Floors shall be kept clean & in good repair.
0.0
8.
.1312 (b); The whirlpool room had a bin of holiday decorations stored inside... Bathrooms shall not be used for storage of items not currently in use.
0.0
10.
.1312 (d); Some of the resident handwashing sinks had no soap or towels available. The sink in the bedpan cleaning room had no soap...Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.
1.5
12.
Reminder that if the whirlpool is used (which it currently isn`t) that the pump must also be disinfected.
0.0
16.
.1313 (d); The hot water at the sink in the laundry room and at the shower in the whirlpool room didn`t rise above 75F...Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities.
1.5
17.
.1313 (e); The facility has a backup potable water supply for consumption but no detailed plan for alternative sources for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste...The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 07/25/2022
Score: 95.5
#
Comments
Points
1.
Carpet between threshold of resident restroom and bedroom is in poor repair in room 407.
0.0
3.
Walls in resident restroom in rooms 407, 105, and 502 in poor repair around entryway. Wall in room 504 near resident sitting area has a hole where alert button was previously located. Walls in laundry area in poor repair in certain locations.
1.0
8.
Toilet in room 504 in need of cleaning. Hand sink and whirlpool tub in resident spa area observed with stains and in need of cleaning.
1.0
12.
Several hand sinks in resident rooms are not provided with paper towels or sanitary hand towels (Rooms 407, 108, 105, 206, 502, 504, 701, 712, 805).
1.5
28.
Resident personal care items, such as Depends, stored directly on floor in room 301 and 206.
0.0
32.
Chair in outdoor seating area under covered awning directly next to sunroom door observed with stains.
0.0
33.
Linens in room 504 observed with stains and have not yet been changed.
1.0
34.
Dirty linen cart stored in clean linen room, while clean linen cart was stored in dirty linen room.
0.0
43.
Thermometers not provided in resident refrigerators in room 301 and 712.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 09/02/2021
Score: 98
#
Comments
Points
12.
Handwash sink in the med room was out of paper towels. Paper towels are not provided in resident bathroom sinks but not all resident bathrooms had hand towels available. Must provide sanitary towels at all handsinks.
1.5
16.
Facility only has a letter from a food supplier for water supply from two years ago and it recommends that facility gets a contract with another company for all emergency water usage. The backup water supply plan shall provide for two liters of water per day per
person for drinking. The backup water supply plan shall include a plan for providing water for essential functions such as food preparation, hand washing, bathing, cleaning, dishwashing, laundry and disposal of bodily waste. The amount of water provided for uses other than drinking may be reduced if the plan includes alternatives for water use for services such as laundry and dishwashing. May use relocation as part of plan but relocation facility must be on a different water supply.
0.0
24.
Several dead cockroaches observed in trap below activity kitchen sink. Replace traps to monitor for current infestation, increase pest control measures if needed.
0.0
35.
Salon is not currently licensed and so gets inspected as part of this inspection. Shared bathing equipment such as the sink and brushes need to be disinfected between residents. Hair stylist stated that she sprayed the disinfectant around and it falls where it will. Provide guidance to hairstylist on proper cleaning and disinfecting of shared items (brushes, curlers, etc.).
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 06/23/2021
Score: 99
#
Comments
Points
28.
.1318 (a) Single-use items stored on floor in storage room. Single-use items shall be stored at least 6 inches above the floor to prevent contamination. Store items off of the floor and install more shelves if necessary.
0.5
43.
.1323(b) Thermometer was not available in refrigerators of rooms #305. Each refrigeration unit shall be provided with an indicating thermometer. Provide thermometers in all units.
0.5
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 11/24/2020
Score: 99
#
Comments
Points
3.
.1310 Wall outlet in room #304 was damaged (hole). Walls and ceilings shall be kept in good repair. Repair wall outlet.
0.0
9.
.1312 (b) Christmas decorations were being stored in the central bathing facility (whirlpool). Toilet rooms shall not be used for storage. Please remove items from that room.
0.5
43.
.1323(b) Thermometers were not available in refrigerators of rooms #108 and #204. Each refrigeration unit shall be provided with an indicating thermometer. Provide thermometers in all units.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 11/21/2019
Score: 99.5
#
Comments
Points
9.
Observed Christmas decorations being stored in the central bathing facility. Bathing facilities shall not be used for storage. These items will be moved today.
0.0
28.
Observed patient contact items being stored on the floor in the storage room. All patient contact items shall be kept off the floor. This delivery will be put up on the next shift.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 02/06/2019
Score: 99.5
#
Comments
Points
16.
Water supply is sufficient and plan is good, but ensure you have adequate water for patients for a few days. Consider a stockpile of water for three days in the case of no water over a weekend, and the supplier cannot bring water.
0.0
28.
Patient care diapers stored on the floor of room 205, 303 and 501. All patient care or consumable items shall be stored at least 8 inches off the floor. Ensure all employees are educated about not storing these items on the floor.
0.5
General Comments
Rooms inspected, 101, 106, 205, 303, 501, 703, and 803. Water measured between 105F-109F. Inspection by Sarah Black observed by Jennifer Moore.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 06/08/2018
Score: 98
#
Comments
Points
1.
.1309 (a) Two storage rooms with several boxes and items on floor. Floors shall be free of obstacles to cleaning, and shall be kept clean and in good repair. All items shall be off the floor to facilitate ease of cleaning.
0.0
8.
.1312 (a) Toilet chair in room 805 rusted, and toilet cushion/seat in room 105 soiled. Majority of rooms observed have pink/orange residue accumulation on shower heads. Bathing, toileting and laundry facilities shall be kept clean and in good repair. Clean toilet seat in 105 and replace chairs/risers when in bad repair. Clean shower heads more frequently. Cleaning of toilet chairs and shower heads mentioned previously on last two inspections.
1.0
13.
.1312 (e) Hand sink in room 708 at 118 degrees F, 119F in room 105. Water heating facilities shall provide hot water within the temperature range of 100 degrees F to 116 degrees F at all lavatories and bathing facilities. Adjust water temperature to be 100 to 116F.
1.0
27.
.1317 (f) Facility bird records provided during inspection show that last check up in 2015. Fax provided showing that next check up is scheduled for 6/12/18 (next week). Copies of veterinary records for all resident pets shall be kept on the premises.
0.0
33.
.1319 (b) Clean carts labelled, soiled carts lacking label. Carts used for soiled laundry shall be labeled for soiled laundry use only. Label soiled carts.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 10/23/2017
Score: 97.5
#
Comments
Points
8.
Repeat Violation-Improvement is noted, however, toilets and toilet chairs need more frequent cleaning. Suggest at least biweekly instead of weekly. Two shower heads had minor pink mold residues. Scrub with bleach or replace shower heads as needed.
1.0
9.
0 points; Post handwashing signs as needed at all hand sinks.
0.0
30.
Medication carts had spoons stored with food-contact surfaces pointing up. Single-service articles must be stored with food-contact surfaces pointing down so that they are dispensed by touching the handle of the utensil.
1.0
35.
Hair curlers were stored in the salon with hair attached to them. Patient contact items must be cleaned and disinfected with all hair removed in between uses. If this is not likely to occur make sure each patient has their own bag of curlers with their name on it, discard curlers after use, or have patients keep their curlers with them in their rooms.
0.5
General Comments
Rooms Checked: 501, 505, 703, 709, 206, 103, 101, 102. Water temperatures ranged from 100-106 F. Sanitizer in laundry machines was 150 ppm upon last visit from Pure Force in August of 2017.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 03/09/2017
Score: 97.5
#
Comments
Points
8.
Several shower heads had pink mold, a few toilet bowls were stained, one shower curtain had mildew stains. Toilet, handwashing, and bathing facilities shall be maintained clean and in good repair. Clean or replace shower heads and shower curtains.
1.0
32.
Crumbs found under couch cushion in room 501. Furniture shall be maintained clean. Keep all furniture clean and in good repair.
0.0
34.
Record of sanitizer concentration in washing machine is insufficient. Provide REHS with record demonstrating proper chlorine concentration in washing machines. Verification required. Contact Jo Hill with this information at (919)280-3216.
1.0
35.
Patient's disposable under garments stored on floor in closets throughout facility. Patient contact items shall be stored at least 8 inches above the floor. Move these items onto a shelf at least 8 inches above floor.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 07/08/2016
Score: 98.5
#
Comments
Points
8.
Toilet chairs need detail cleaning./Recaulk handwashing lavatory in central bathroom.
1.0
35.
Patient`s disposable under garments stored on floor, in nurses` storage closet. Patient contact items are required to be kept a minimum of 8 inches above floor.
0.5
43.
Patient room 404 had no thermometer in refrigerator. Facility provided refrigerator contained potentially hazardous food items. Accurate thermometer is required.
0.0
General Comments
Laundry was verified by Swisher Report dated 6/2016 with chlorine at 150 ppm. Med and water cups on medicine cart were over stacked. These should be stored to not exceed height of storage bin, so as to protect lip contact surface. Garbage bin and sharps container should be stored on end of cart away from clean articles.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 04/12/2016
Score: 99.5
#
Comments
Points
8.
0 points; Make sure to clean the shower chair legs as needed to minor remove pink mold residues.
0.0
35.
Patient wipes and nursing items were stored on the floor in storage. Patient contact items must be at least 8 inches off of the floor. Also make sure paper towels and toilet tissue are stored 8 inches off of the floor.
0.5
General Comments
Backup water supply plan now calls for evacuation to a sister location in the event of a water outage and they have a company to accommodate relocation of residents. Laundry was verified by Swisher Report dated 4/4/16 with chlorine at 150 ppm.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 10/08/2015
Score: 99
#
Comments
Points
16.
The back - up water supply plan that was provided is out dated as 1-1-15, and is not detailed as to the amount of water that will be provided for each person. The back-up water supply plan shall provide for two liters of water per day per person for drinking.
1.0
General Comments
Vet records for cockatiel bird (housed in common area) and resident's dog(name-Buddy) were available and approved. Service maintenance record for laundry machines showed 10-5-15 evaluation and approval of machines by Swisher Corp. Laundry disinfection was addressed and approved by Swisher Corp. during this maintenance visit. Inspection and comments by Pamela Scott with Ashley Whittington.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 04/02/2015
Score: 97
#
Comments
Points
1.
0 points; Seal crack in the floor in mechanical room adjacent to library next to 400 hall./Repair peeling linoleum in room 107./Replace loose escutcheon plate in shower of room 107./Repair door jam at central laundry entrance.
0.0
8.
Remove storage from soiled utility closet and adjacent closet so that soiled laundry can come in through the soiled utility closet and out through the clean side of laundry room. Also, label one door soiled linen and the exiting door clean linen. This was soiled linen and clean linen will be better segregated to prevent contamination./Replace shower curtain in room 712./Repair leaky faucets in rooms 102 & 107.
1.0
14.
0 points; A disinfectant sanitizer was available in central laundry bath but it was not the disinfectant that the rest of the facility uses, the bottle was almost empty, and it could not determined if chemical was an adequate disinfectant for cleaning bath tubs in between patients. Replace sanitizer disinfectant with the EPA registered, approved, disinfectant that is supplied in housekeeping closet so an appropriate disinfectant is always available in central bath room.
0.0
28.
0 points; One box of medication cups was stored directly on the floor in central supply room on 400 hall. Patient contact items and single-service cups must be stored at least 8 inches off of the floor.
0.0
30.
Repeat Violation-Single-service cups storage has improved overall but drinking cups were still stacked above the rim of the medication carts. Mouth-contact areas of drinking cups must remain protected.
1.0
32.
Replace kitchen cabinets in room 801 and any other rooms that are splintering because wood paneling is in poor repair; Replace drawer pull in small night stand/dresser in common area of 400 hall;
1.0
35.
0 points; Make sure to remove hair from curlers and clean curlers in between residents or have each resident keep their own curlers with their name on them, stored separately from other curlers, clearly labeled.
0.0
43.
0 points; Replace thermometer in refrigerator in room 504.
0.0
General Comments
Rooms Checked: 108, 302, 504, 706, 710, 712, 805, 801, 102, 107. Wash sheets in Room 302. Clean the microwave in activity kitchen daily. Replace burnt out light bulb in laundry room. Make sure hand soap is always available at handwashing sink in soiled utility closet near laundry area. Acquire a dumpster plug and keep dumpster closed.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 10/16/2014
Score: 98
#
Comments
Points
1.
Remove storage off of the floor in storage areas to facilitate cleaning. Discard unnecessary items so that available storage space can be utilized most efficiently.
1.0
8.
Showerheads throughout facility, especially in room 306, were soiled with dried pink mold. Soak showerheads in bleach to remove stains/prevent pink bacteria from forming. Clean legs of shower chair in room 503 to remove pink mold. Clean toilet in unisex public restroom and room 702.
1.0
General Comments
Rooms Checked: 107, 103, 203, 306, 503, 506, 702, 703, and 707. Repair minor wall damage in central laundry room. Clean blinds and A/C vents in Room 703. Make sure to clean underneath all furniture cushions to remove debris. Make sure not to overstack single-service medicine cups or drinking cups on the medication carts.
Backup water supply plan is incomplete. A comprehensive backup water supply plan must be in place. The plan must account for the amount of water needed to perform the following functions: food preparation, hand washing, bathing, cleaning, dishwashing, laundry, disposal of bodily waste. A reduction in the amount of water needed may be used if laundry is outsourced during the outage and food is served with a single service plates and utensils. The plan must indicate that the local health department is to be notified if the outage lasts more than 4 hours. Additionally, the plan must account for 2 liters of drinking water per resident, per day. If laundry is not outsourced it is recommended to allot 15-20 gallons per resident per day. Email backup water supply plan to Jo Farmer at johanna.farmer@wakegov.com when plan has been drafted to ensure that it is complete. Points will be taken on next inspection of plan is not in compliance.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 09/09/2013
Score: 96.5
#
Comments
Points
3.
There were some cob webs in the upper corners in the shower in room 805.
0.0
8.
The therapeutic jet tub was not properly cleaned. There was residue on skin contact surfaces (body oils, dirt, etc.) and there was some pink mildew inside the jets. All shared bathing equipment must be cleaned and disinfected after each use and before used by different residents. Bathing equipment with jets must be cleaned per manufacturers instructions.
1.0
12.
The hand sink in the laundry was not stocked with paper towels. Hand washing facilities, especially those were staff may be exposed to bodily secretions like laundry areas, must be supplied with hot and cold or tempered water, soap and paper towels or approved drying devices. If soap or paper towels run out, the staff should stop and restock immediately.
1.5
30.
Spoons used on the medication carts are being stored in an unsanitary manner. The food/lip contact ends are touching markers and note pads and the spoons are arranged with the food contact ends turned upward making it impossible to retrieve one for use without touching that end. Only the handle of these spoons should be touched. Store spoons in a container with the handles up. Too many medication and food cups are being stored on the carts. Only keep the amount needed for a day so that these cups remain protected in plastic sleeves.
1.0
34.
Clean linen was hanging off the bottom shelves and almost touching the floor in the clean storage. Linen must be stored to ensure it does not become contaminated. The rules do not require it to be 8 inches above the floor but it would be best if an additional board was added inside the bottom shelf this would help protect the clean linen and effectively push any exposed linen to about 8 inches above the floor and keep the lower linen from hanging over the shelf.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 04/05/2013
Score: 99
#
Comments
Points
14.
Shared bathing equipment, the jet tub, is being cleaned and sanitized using a food grade quaternary ammonium sanitizer. Between uses, bathing equipment touched by skin must be disinfected using an EPA registered disinfectant. There is a Hospital grade disinfectant on hand and this product will be used in the future to disinfect all shared bathing equipment between uses by subsequent residents.
1.0
General Comments
Facility is well maintained and in great condition. Hot water in room 803 was 117 degrees. All other rooms checked had hot water between 100 and 116 degrees as required.
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 06/25/2012
Score: 99
#
Comments
Points
9.
Toys and physical acitivity supplies were stored in the bedpan cleaning toilet room [Rule requires that toilet rooms not be used for storage.].
0.5
43.
The gallery kitchen refrigerator did not have an air temperature thermometer. Some of the resident room refrigerators had malfunctioning air temperature thermometers. Some of the resident room refrigerators did not have air temperature thermometers. [Rule requires that each refrigeration unit shall be provided with an indicating thermometer of such type and so situated that the thermometer can be easily read.]
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 06/28/2011
Score: 99
#
Comments
Points
34.
Laundry carts/containers were not labeled or otherwise designated for soiled versus cleaned linen. Laundry carts must be labeled as 'Soiled Linen', and 'Clean Linen'. Soiled linen may not be transported or stored on carts/containers used for clean linen , and clean linen may not be transported or stored on carts/containers used for soiled linen.
1.0
General Comments
The lavatory in Room 103 maxes at 85F [Hot water at lavatories must be 100F to 116F. This was the only hot water violation observed in today's inspection.]. The lavatory in Room 701 drains very slowly, allowing basin to fill with water. The dumpster door was left open [The dumpster doors and lids must be closed when not in immediate use.].
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 04/09/2010
Score: 97
#
Comments
Points
3.
The coving is missing and coming off the wall in the laundry room. Wall is worn in the main laundry room. Repair. Wall is worn by the mop sink that is located by the library. Repair.
1.0
32.
The living room sofas and some arm chair are have debris under the cushions. Clean more frequently.
1.0
35.
Diapers and nutrional drinks stored on the floor of the medicine room. Store on shelving at least 6" off the floor or in cabinents. Straws and gloves stored under the handsink in the medicine room. Store single service items 18" away from drainlines or in a plastic container with a lid.
0.5
43.
The medicine refrigerator with the drinks stored in it is 51F. Keep the refrigerator at or below 45F.
0.5
General Comments
1.THE CONCRETE FLOOR HAS A LARGE CRACK IN IT AND IS WORN IN THE HOUSEKEEPING CLOSET. 8. THE SHOWER FLOOR IS DIRTY IN THE WHIRLPOOL ROOM AND THE SHOWER HEAD HAS SOME MOLD.(THEY ARE NOT BEING USED)
Location: 1110 FALLS RIVER AVE RALEIGH, NC 27614 Facility Type: Nursing Homes Inspection Date: 07/31/2009
Score: 97.5
#
Comments
Points
3.
The medicine room wall has small holes and paint worn in one wall. Repair. The coving is missing and coming off the wall in the laundry room. Repair.
1.0
8.
The shared shower floor is dirty. The handsink in the kitchenette in room 102 has low water pressure. Repair. The drain plate to the handsink in room 404 is worn. Repair or replace. The wall is worn by the door in the bathroom by the kitchen.
1.0
43.
The medicine refrigerator with the drinks stored in it is 52F. Keep the refrigerator at or below 45F.
0.5
General Comments
The vent in room 505 is dirty. The donated clothes in the storage closet are on the floor. Store on shelving. Room 102 and 104 have toothbrushes store on the back of the handsink. Store toothbrushes in the medicine cabinent or in toothbrush holders.
