Mecklenburg Health and Rehabilitation: Hand Hygiene Failures - NC
The inspection, completed August 21, 2025, documented what inspectors classified as a failure to follow basic infection control practice during blood sugar testing and insulin administration. The unit coordinator did not perform hand hygiene after removing gloves following an injection given to Resident 105. Then, before moving on to Resident 4, the same staff member skipped hand hygiene again, this time before performing a glucometer test and a second insulin injection.
Those are not incidental steps. Skipping hand hygiene between patients during procedures that involve needles and blood creates a direct pathway for cross-contamination.
The facility's own Infection Preventionist confirmed the lapse during an interview with inspectors at 1:06 p.m. that day. The Infection Preventionist said that the unit coordinator should have cleaned their hands after removing gloves with Resident 105 and again before beginning any contact with Resident 4. What made the finding harder to explain away: the Infection Preventionist also said that staff had received education specifically on hand hygiene and glucometer testing in July 2025, just weeks before the inspection, and that the unit coordinator had attended that training.
The Director of Nursing offered a similar account when inspectors spoke with her at 2:04 p.m. She said the unit coordinator was nervous. She also confirmed that hand hygiene should have been performed after glove removal during the injection for Resident 105 and before the glucometer test and injection for Resident 4.
Nervousness does not explain a gap in infection control that a training held the previous month was specifically designed to close.
The inspection was conducted in response to a complaint. Inspectors tagged the deficiency under F0880, the federal citation covering infection prevention and control. The level of harm was listed as minimal harm or potential for actual harm, and the number of residents affected was listed as few.
That language, minimal harm or potential for actual harm, is a regulatory category, not a medical clearance. It describes what inspectors could document at the time of the visit, not what may have passed between two residents during a procedure that bypassed the most basic barrier between them.
Mecklenburg Health and Rehabilitation is a nursing and rehabilitation facility in Charlotte. The inspection covered two pages, and the hand hygiene failure during insulin administration was the cited violation.
The unit coordinator attended the July training. The unit coordinator then did not apply it. The Director of Nursing attributed that to nerves. The Infection Preventionist offered no alternative explanation. Neither said what, if anything, would happen differently for Resident 105 or Resident 4 as a result of what inspectors found.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Mecklenburg Heath and Rehabilitation from 2025-08-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Last verified: October 11, 2026 · Our methodology
Mecklenburg Heath and Rehabilitation in Charlotte, NC was cited for violations during a health inspection on August 21, 2025.
The unit coordinator did not perform hand hygiene after removing gloves following an injection given to Resident 105.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.