Caswell House

Overview of Caswell House

Caswell House is a 100-bed assisted living and special care unit facility at 535 US Highway 158 West, Yanceyville, Caswell County, North Carolina. Current occupancy is 46 percent (46 of 100 licensed beds), indicating declining demand.

Serious resident care failures, medication administration errors, and critical fire safety infrastructure failures define Caswell House’s regulatory record. Over nine years, the facility averaged 20 deficiencies annually, 285 percent above North Carolina’s 5.2-deficiency benchmark. October 2025 annual survey documented 15 deficiencies spanning physical plant deterioration, fire safety system malfunctions, and systemic clinical care failures. Building conditions showed buckled and torn flooring, walls with black marks and missing paint, poor furnishings, and hazardous fixtures.

Sprinkler and fire alarm systems were malfunctioning with failure to conduct fire watch. HVAC system broken since June 2025 created excessive heat in dining and activity rooms. Medication administration errors involved dementia, iron, pain, gout, and blood pressure medications; unsecured medications with unknown cream on sink edge; and expired controlled substance not destroyed timely. Healthcare referrals were not completed, therapeutic diets not served as ordered, and county DSS not notified of emergency hospitalizations.

Special care unit staff lacked required orientation and training.

A substantiated March 2023 complaint investigation identified serious resident safety failures. The facility failed to maintain a clean hazard-free environment, provide adequate supervision resulting in a resident fall with head injury requiring sutures, ensure immediate response to accidents, provide appropriate health care follow-up, maintain residents free of physical and mental abuse, administer medications as ordered, report injuries to the Health Care Personnel Registry within 24 hours, and notify county DSS of emergency medical evaluations.

Fire safety infrastructure failures persist across inspection cycles. April 2025 complaint follow-up documented fire sprinkler system intermittently out of service since August 2023 with fire watch in place, fire alarm system troubles, and electrical equipment non-functional. August 2025 construction survey found emergency override switch non-functional, no approved current fire and building safety inspection report, exit doors lacking sounding devices, persistent unpleasant odors, obstructed means of egress, and inadequate exhaust ventilation. Hot water supply measured at 90 degrees, below the required 100-116 degree range.

June 2024 annual survey documented staffing shortages across assisted living and special care units.

Families should ask about fire safety system repairs, infection controls, medication administration, special care unit staff training, county DSS emergency notification protocols, and staffing ratios.

Share Share this listing Write review Facility Direct Line (336) 694-1555

Facility Direct Line (336) 694-1555