Location: 3218 Heritage Trade DR WAKE FOREST, NC 27587 Facility Type: Nursing Homes Inspection Date: 02/21/2024
Score: 97.5
#
Comments
Points
2.
There is staining on the ceiling around the sprinkler in the common bathroom on B-Hall. The walls and ceilings shall be maintained clean and in good repair. Monitor this area.
0.0
7.
A bracket is on the wall where one side of the toilet paper holder should be on the F-Hall. The facilities and fixtures in bathroom shall be maintained clean and in good repair. The toilet paper holder was replaced.
0.0
10.
The handwashing sink in the laundry room in the memory care unit was not supplied with papertowels. Handwashing facilities shall be supplied with soap, tempered water and disposable towels or a hand-drying device. Papertowels were added to the dispenser.
1.5
32.
The majority of furniture throughout the facility has been replaced within the last six months, but there are still a few chairs in the lobby, memory care unit and at the end of the F Hall have stains on them or under cushions. Furnishings shall be clean and in good repair. Ensure furniture is cleaned on a frequent basis.
1.0
47.
NOTE: The staff refrigerator in the craft area is used to temporarily store food for activities so that residents will not be able to access it prior to the activity, yet the craft room is also Archie`s (community dog) primary living quarters. Live animals shall not be in areas where food is stored or prepared. **Relocate Archie or ensure this is a staff only refrigerator.
0.0
General Comments
*Melodee Wallace Johnson - melodee.johnson@wake.gov - 919.609.1783*
Location: 3218 Heritage Trade DR WAKE FOREST, NC 27587 Facility Type: Nursing Homes Inspection Date: 06/29/2023
Score: 98.5
#
Comments
Points
5.
The filter was dusty in Room D10; the upstairs sunroom has brown residue at the bottom of the hvac unit from condensation; and the outside vent section on the hvac unit for Room C3 has green residue on it. Ventilation equipment shall be clean and in good repair. Clean these items.
0.5
32.
There is debris or staining underneath the cushions of chairs and/couches in the sunrooms (upstairs and downstairs) as well as the living/activity room on the Memory Care Unit; a throw pillow on the Memory Care Unit has exposed stuffing. Furnishings shall be clean and in good repair. Pillow was removed - chairs/sofas will be cleaned.
0.5
34.
Unable to pull up account today due to maintenance director being on vacation... monthly report is emailed to him.
0.0
43.
Milk in the cafe (activity kitchen) refrigerator expired on May 29, 2023. Resident food stored in common areas shall be labeled, dated and properly stored. Milk was discarded.
0.5
45.
The battery in the digital thermometer in the cafe (activity kitchen) was dead. Thermometers in cold holding equipment shall be accurate. The thermometer was replaced.
0.0
General Comments
*Melodee Wallace Johnson -melodee.johnson@wake.gov - 919.609.1783*
Location: 3218 Heritage Trade DR WAKE FOREST, NC 27587 Facility Type: Nursing Homes Inspection Date: 08/17/2022
Score: 97.5
#
Comments
Points
12.
Papertowels were missing from the handwashing sink in the soiled laundry room. All handwashing sinks shall be supplied with tempered water, soap and sanitary towels or hand-drying devices. *Papertowels were added to the dispenser.
0.0
16.
Back up water supply is dated for March 2019 and states that water will be provided to meet needs, obtain an updated plan that specifies how much potable and non-potable water will be provided no later than Friday, August 26, 2022. Also, it is best to review plan at least yearly (sign off on plan) to ensure your water requirements will still be met in case of an emergency.
0.0
28.
A box of non-slip socks and medicine cups were stored on the floor of the A-Hall storage room in the care area. Patient care or consumable items shall be stored at least eight inches above the floor... Items were stored on shelving that is more than eight inches above the floor.
0.5
30.
Two of the four medication carts observed had exposed single use spoons with the handles in the container. Food and utensils on medication carts shall be handled in a sanitary manner. Spoons were discarded and replaced with individually wrapped single use spoons.
1.0
40.
Food without labels (name and date) brought in by the residents families was stored in the memory care unit and cafe refrigerators. Food brought into the facility by employees, resident families or residents shall be stored separately from the facility`s food and labeled with the resident`s name and the date it was brought in ... labeling is only required in shared refrigerators. Ensure all food provided by families/residents is labeled and dated.
1.0
General Comments
Areas inspected: Rooms B2, C9, F11 and D11; spas/bathrooms; storage, electrical, building systems and janitor closets/rooms, elevators, all 3 stairwells, the gym, cafe, library, sunrooms, parlor, vestibule, patient and facility laundry rooms; care stations; media room; craft room; the memory care unit and the perimeter of the building; the outside shed and dumpster area.
*Melodee Wallace Johnson - melodee.johnson@wakegov.com - 919.609.1783*
Location: 3218 Heritage Trade DR WAKE FOREST, NC 27587 Facility Type: Nursing Homes Inspection Date: 07/21/2021
Score: 97
#
Comments
Points
2.
.1309 (a) In memory care spa baseboard broken. All floors in intensive care units, bathrooms, showers, hydrotherapy areas, operating rooms, soiled utility rooms
and laundry areas shall be of smooth, non-absorbent materials and so constructed as to be easy to clean. Floors shall
be free of obstacles to cleaning, and shall be kept clean and in good repair. Carpeting shall be maintained clean,
odor free, dry and in good repair. Repair baseboard.
0.0
5.
.1311(b) Observed a few dusty vents specifically in rooms B6 and A5. Ventilation equipment shall be kept clean and in good repair. Increase cleaning frequency.
1.0
12.
.1312 (a) Leaky/dripping faucet in B4 and in activity kitchen in memory care unit. Sink in spa room in memory care area running. Rubber trim for shower unattached on the end in B4. Toilet paper holder broken in room C3 and lacking toilet paper. All institutions shall be provided with toilet, handwashing, and bathing facilities that are conveniently located and readily accessible to residents and staff. These facilities, and laundry facilities when provided, shall be kept
clean and in good repair. Repair faucets and trim. Repair holder and supply with toilet paper.
1.5
28.
.1318 (a) Observed single service utensil and bags of linen stored on the floor in memory care storage closets. Used needles in sharpers containers stored on top of fridge in AB medicine station. Medical supplies and juice stored on floor in A/B nurse station. 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. Store items off floor and protect from contamination. Sharps containers relocated.
0.5
30.
.1318 (c) Medicine cups stored on B hall medicine cart facing up on the main surface. Medication carts shall be cleaned when visibly soiled. Food and utensils used on medication carts shall be handled in a sanitary manner. Unused medication cups shall be kept covered or inverted. Sharps containers on medication carts shall be affixed or secured to prevent spillage. Store cups inverted.
0.0
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 3218 Heritage Trade DR WAKE FOREST, NC 27587 Facility Type: Nursing Homes Inspection Date: 06/08/2021
Score: 97.5
#
Comments
Points
8.
In Memory care "Spa" room, toilet flusher lever was peeling/damaged...Toilet/bathing facilities shall be maintained in good repair...Replace the damaged toilet flusher.
0.0
12.
Memory care "Spa" room had no cold water running at sink faucet. Also, soap dispenser at this sink was not dispensing soap. At 2-compartment sink in Memory Care activity room, no soap was available...Handsinks (lavatories) shall have mixing faucet or tempered water, and soap and approved hand drying devices shall be available...At each handsink, maintain an adequate supply of soap. Provide cold running water under pressure at sink.
1.5
28.
A few boxes of disposable cups were stored on floor in one Memory care closet...All patient care or consumable items shall be stored at least eight inches above the floor...Elevate cups above the floor at least 8 inches.
0.0
32.
A few chair seat cushions and areas under cushions in common sitting areas were soiled or stained. First floor activity room had soiled oven and drawer, refrigerator shelves/drawer and cabinet exteriors. Memory care activity room had soiled oven interiors, cabinet drawers, and water damaged drawer...Furniture and furnishings shall be maintained clean and in good repair...Increase cleaning of soiled items above and repair drawer where needed.
Location: 3218 Heritage Trade DR WAKE FOREST, NC 27587 Facility Type: Nursing Homes Inspection Date: 12/14/2020
Score: 97.5
#
Comments
Points
2.
Flooring in several janitorial closets and other storage rooms had debris and/or was soiled...Floors shall be maintained clean...Increase cleaning frequency of floors.
1.0
16.
Facility has some parts of a backup water supply plan, such as a letter from US Foods, stating their role in providing emergency backup food and water supplies when needed. However, other specific information/steps are not provided in the plan, such as contacting the Wake County Dept. of Environmental Services, how much drinking water to provide for residents when water utility has been disrupted, what to do with laundry and bathing needs, etc...Each institution shall have a plan to obtain a backup water supply in the event that the water supply is lost for more than four hours. 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 either relocating residents or providing an alternative source of water for essential functions such as food preparation, hand washing, bathing, cleaning, dishwashing, laundry and disposal of bodily waste...To your current plan, add all required backup water supply plan requirements as stated above.
0.0
30.
Several medication carts had pill packaging debris inside drawer corners and some soiled areas...Medication carts shall be maintained clean...Increase cleaning frequency of cart drawers.
0.0
32.
Areas under a few chair seat cushions in common sitting areas were soiled or stained...Furnishings shall be maintained clean...Increase cleaning frequency of chairs.
1.0
43.
Air temperature inside white refrigerator in AB nurse's station was 46F (thermometer in unit showed 47F)...Air temperature of refrigerators with potentially hazardous foods shall be maintained at 45F or less...Adjust air temperature of refrigerator interior to maintain air temperature/foods at 45F or less.
0.5
General Comments
Inspection report sent via email to PIC, and EHS verified it was received before leaving establishment. No recipient signature due to COVID-19 precautions.
Location: 3218 Heritage Trade DR WAKE FOREST, NC 27587 Facility Type: Nursing Homes Inspection Date: 02/17/2020
Score: 98
#
Comments
Points
2.
.1309 Crumb accumulation on floor in C7. Floors shall
be free of obstacles to cleaning, and shall be kept clean and in good repair. Clean floor more frequently.
0.0
5.
.1311 (b) Filters of HVAC units in rooms throughout dusty. Ventilation equipment shall be kept clean and in good repair. Clean units.
1.0
8.
.1312 (a) Hand sink in laundry room on first floor leaking/dripping as well as hand sink in room B4. Pink residue on shower floor, under the shower chair/bench and on the shower head in B4. Pink residue accumulation on shower head in room C7, the shower drain is soiled and the drain cover is missing. All institutions shall be provided with toilet, handwashing, and bathing facilities that are conveniently located
and readily accessible to residents and staff. These facilities, and laundry facilities when provided, shall be kept
clean and in good repair.
1.0
28.
.1318 (a) Items on floor in storage closet in D hallway and bags of linen on the floor in memory care wing storage room. Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture and supplies, and kept clean. 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. Store items off of the floor.
