Location: 3550 HORTON ST RALEIGH, NC 27607-3416 Facility Type: Nursing Homes Inspection Date: 06/03/2024
Score: 98
#
Comments
Points
2.
15A NCAC 18A .1310 WALLS AND CEILINGS
Wallpaper peeling on walls in restroom (next to arbor room); Exterior door gapped bottom side entrance, main entrance;
0.0
39.
Observation: Reusable utensils, cups and other items not being removed to main kitchen for wash, rinse and sanitize. The activity kitchens do not have dish machine or 2 compartment sink dedicated for this purpose.
15A NCAC 18A .1320 ACTIVITY KITCHENS, REHABILITATION KITCHENS, AND NOURISHMENT
STATIONS
(b) Utensils that have been used to prepare, serve, or consume food or drink shall be returned to the dietary kitchen
and shall be washed, rinsed, and sanitized. Notwithstanding the foregoing sentence, utensils may be washed, rinsed
and sanitized at activity kitchens, rehabilitation kitchens, and nourishment stations that are equipped with the
following:
(1) a two compartment sink with 24 inch drainboards or counter top space at each end of the sink for
handling used utensils and air drying clean and sanitized utensils. The sinks shall be of sufficient
size to submerge, wash, rinse and sanitize utensils; or
(2) a dishwashing machine approved by National Sanitation Foundation International.
1.5
45.
Thermometers needed for all refrigeration units. ***REPEAT***
15A NCAC 18A .1323 FOOD PROTECTION IN ACTIVITY KITCHENS, REHABILITATION
KITCHENS, AND NOURISHMENT STATION
Location: 3550 HORTON ST RALEIGH, NC 27607-3416 Facility Type: Nursing Homes Inspection Date: 09/06/2023
Score: 96.5
#
Comments
Points
1.
Minor staining observed on carpets. Large crack in floor inside facility main laundry room.
0.0
2.
Large hole in supply closet wall.
0.0
10.
Several handwashing sinks throughout facility missing a supply of handwashing soap, few missing paper towels (soiled laundry rooms, resident rooms, etc.)
1.5
16.
Few hand sinks around facility reaching 118F. Tempered water range is 100F - 116F.
1.5
32.
Minor staining observed on common area furniture, debris under cushions.
Location: 3550 HORTON ST RALEIGH, NC 27607-3416 Facility Type: Nursing Homes Inspection Date: 07/13/2022
Score: 98
#
Comments
Points
2.
Staining observed on carpeting throughout 3rd floor of memory care. .1309 Carpeting shall be maintained clean, odor free, dry and in good repair. Facility has carpeting cleaned monthly until flooring can be replaced.
1.0
3.
Minor scuffing noted on the walls throughout facility hallways. Soiling observed on walls in room #3004. .1310 Walls and ceilings of all rooms and areas shall be kept clean and in good repair.
0.0
32.
Several stains on common area furniture throughout facility. Observed a few pull out drawers broken and off their sliding track, one cabinet door damaged in Grove Cafe. .1319 All furniture, or other furnishings in institutions shall be kept clean and in good repair. Have furniture thoroughly cleaned and drawers/cabinets repaired as needed.
Location: 3550 HORTON ST RALEIGH, NC 27607-3416 Facility Type: Nursing Homes Inspection Date: 03/21/2022
Score: 97.5
#
Comments
Points
1.
Large crack in the concrete floor of main washing room. All floors in soiled utility rooms and laundry areas shall be of smooth, non-absorbent materials and so constructed as to be easy to clean.
0.0
3.
Long scuff mark on wall in one resident room on 3rd floor. The walls and ceilings of all rooms and areas shall be kept clean and in good repair.
0.0
16.
Facility did not have a written back-up water supply plan. The local health department shall be immediately notified if the primary water supply is interrupted for more than four hours. 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. 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. If an assessment determines that tap water is not to be used for drinking, sources shall be prominently labeled or hooded to restrict use and potable water shall be provided.
1.0
28.
Several single-use patient items and consumable items stored on the floor in a few storage rooms throughout the facility. All patient care or consumable items shall be stored at least eight inches above the floor to prevent
water contamination from cleaning floors. Have items stored to meet requirements.
0.5
32.
Several stains on common area furniture throughout facility. All furniture, or other furnishings in institutions shall be kept clean and in good repair. Have furniture thoroughly cleaned.
1.0
General Comments
Inspection lead by Peri Sellew
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 3550 HORTON ST RALEIGH, NC 27607-3416 Facility Type: Nursing Homes Inspection Date: 08/02/2021
Score: 99
#
Comments
Points
14.
.1312(f) No test strips for Array germicidal cleaner and disinfectant. Where disinfectants are mixed on site, the concentration of the mix shall be assured by use of a metering pump, measuring device or chemical test kit. Contact manufacturer to obtain test strips for disinfectant.
1.0
43.
.1323(b) Refrigerators in residence`s rooms and activity kitchen areas except for second floor activity kitchen did not have thermometers. Each refrigeration unit shall be provided with an indicating thermometer of such type and so situated that the thermometer can be easily read. Add thermometers to these areas to monitor temperatures.
Location: 3550 HORTON ST RALEIGH, NC 27607-3416 Facility Type: Nursing Homes Inspection Date: 05/26/2021
Score: 99
#
Comments
Points
34.
Soiled Laundry carts inside laundry room are not labeled. Label carts
0.0
35.
Observed rollers and hair equipment with patient hair, rollers stored in the sink basin.Patient contact items in good repair, properly stored, cleaned and disinfected.
0.5
44.
Observed large bowl of trail mix stored uncovered in living room. Keep food covered.
0.5
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 3550 HORTON ST RALEIGH, NC 27607-3416 Facility Type: Nursing Homes Inspection Date: 12/14/2020
Score: 99
#
Comments
Points
3.
Observed vent cover hanging;not properly affixed to the wall inside of the 4th floor janitors closet. wall covering shall be properly installed and in good repair.
1.0
36.
Observed several single service cups stored in living room, exposed/unprotected from dust and contamination. Keep single use items in protective sleeve or plastic bags-Cups discarded.
