Brockford Inn

Overview of Brockford Inn

Brockford Inn is a 67-bed memory care facility at 56 N. Highland Avenue, Granite Falls, Caldwell County, North Carolina. Current occupancy is 97 percent (65 of 67 beds), significantly above North Carolina’s 76.4 percent average. Services include on-site physician, psychology, nursing, housekeeping, laundry, restaurant-style meals, salon, activities averaging four daily, on-site chaplain three days weekly, on-site church services, certified activity professional, and resident advisory board.

3-star state rating.

A substantiated February 2020 complaint investigation revealed fatal care failure. The facility missed dialysis treatments for three residents during facility quarantine, resulting in hospitalization for two residents and death for one (Resident #6). Critical lab values including potassium of 7.1 and blood urea nitrogen of 191 documented the medical severity of care failure.

Serious resident safety and protection failures persist across the record. August 2024 complaint investigation documented Staff B twisting Resident #2’s finger during incontinence care, resulting in bruising. The facility failed to report the abuse allegation to the Health Care Personnel Registry as required. That same survey found roach infestation in assisted living resident rooms despite multiple pest control treatments spanning May through July 2024, two staff lacking required Health Care Personnel Registry checks upon hire, missing therapeutic diet menus, and medication administration errors involving anxiety, coronary artery disease, cholesterol, COPD, and dementia medications.

Medication administration and dietary failures recur across nine years. April 2021 documented insulin unavailable for several days for one resident. January 2019 documented borrowed medication without proper documentation and medication refill issues. August 2017 documented improper insulin administration and missed Vitamin B12 doses, inadequate non-disposable dining place settings, and undocumented menu substitutions.

October 2021 documented seven residents’ clothing not returned after laundering and inaccurate oxygen administration records. July 2020 COVID-19 investigation found inadequate visitor and staff screening, improper PPE use, poor infection control, and ineffective isolation of positive residents (32 residents and 15 staff tested positive). August 2025 documented failure to provide pureed bread or substitute for two residents on therapeutic diet.

Fire safety and physical plant deficiencies appear across construction surveys. May 2025 follow-up found lack of emergency release switches for electromagnetic locks and missing sprinkler head escutcheon. February 2019 documented missing current sanitation and fire safety inspection reports, unsafe exterior exit paths, improper oxygen cylinder storage, inadequate fire rehearsal documentation, compromised fire-rated walls and ceilings. March 2017 documented unsafe exterior stairs and handrails, non-functional emergency lighting, and inaccessible emergency release switches.

No fines or license suspensions appear in the record.

Families should ask about corrections for the February 2020 missed dialysis deaths, medication administration, dietary substitutions, infection controls, pest controls, and fire safety system functionality.

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Facility Direct Line (828) 396-3111