The Oaks of Alamance

The Oaks of Alamance is a 69-bed assisted living and memory care facility at 1670 Westbrook Avenue, Burlington, Alamance County, North Carolina, licensed HAL-001-134 (Active), offering 24-hour monitoring with personal care, home-cooked meals, medication administration, laundry, housekeeping, individual care plans, wellness programs, transportation assistance, physician availability, activities director, exercise programs, community outings, religious activities. Current occupancy is 43 of 69 beds (62 percent) as of April 2025, lower than North Carolina average of 76.4 percent. The facility does not accept Medicaid or Medicare and does not offer respite care or rehabilitation services. Overall rating is 2/5.

Occupancy remains at 62 percent, reflecting potential resident or family hesitation regarding compliance and safety. Burlington is located in Alamance County in the Piedmont region of North Carolina; Alamance Regional Medical Center is the primary nearby acute-care resource.

The facility’s regulatory record reflects severe and persistent deficiencies across medication administration, physical plant safety, and fire code compliance, with a rate of 14.6 deficiencies per year, 181 percent worse than North Carolina average of 5.2. Recent findings document critical safety gaps.

The April 16, 2025, annual and follow-up survey identified 8 current deficiencies: non-operable window lacking screen in resident room; hazardous substances accessible in Special Care Unit despite requirement for locked storage; 29 oxygen tanks unsecured (23 in room 122, 6 in room 207) creating explosion hazard; failure to implement physician-ordered compression stockings; therapeutic diet orders not followed; insulin medication not administered as ordered; over-the-counter medications unsecured in resident bathrooms; pre-admission screening documentation absent for Special Care Unit residents. The January 22, 2025, construction follow-up confirmed zero deficiencies.

Earlier 2024 and 2023 surveys documented persistent and systemic medication administration failures including untrained medication staff failing state examinations, unauthorized continued administration of discontinued medications, missing inhaler medications, medication documentation delays, and unsecured bedside medications without physician orders. The April 24, 2024, follow-up found 6 deficiencies related to medication staff training, absent PCP notification for abnormal blood pressures, failure to serve milk three times daily, and misaligned therapeutic diets for 3 of 5 residents. The April 18, 2024, construction follow-up found 9 serious deficiencies in physical plant conditions including unsafe premises with 8 tripping hazards from cables, kitchen hood fire suppression system lacking required inspections and maintenance since October 2023, fire-resistance corridor doors not closing or latching properly, electrical panel obstructions, and disabled sprinkler system maintenance.

The January 11, 2024, annual survey substantiated 10 additional deficiencies spanning medication administration, staff training requirements, infection control protocols, and unsafe medication storage practices. The December 14, 2023, construction survey documented 15 building and fire code violations including exit door locks not operable by single hand motion, inadequate smoke detection in Special Care Unit, compromised fire-resistance enclosures with unsealed gaps, fire doors blocked or held open by unapproved devices, improperly oriented evacuation diagrams, and non-functioning exhaust ventilation.

Earlier surveys from 2015 through 2022 established a pattern of recurring deficiencies in fire safety, sanitation inspection documentation, and medication administration spanning a decade. The February 25, 2022, annual survey identified 15 deficiencies including unlocked hazardous chemical closets accessible to residents, 10 unsecured oxygen tanks, improper hot water temperatures exceeding safe limits, and widespread failure to follow physician orders for dietary compliance.

No fines or license suspensions appear in the record.

Multiple medication administration failures, unsecured hazardous materials, oxygen tank storage hazards, and persistent fire safety code violations create serious placement risk.

Families should ask about medication staff certification, medication administration oversight, hazardous substance and oxygen tank security, fire safety systems, and corrections since April 2025.

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Facility Direct Line (336) 584-3070