Scotland House

Overview of Scotland House

Scotland House is a 60-bed assisted living and memory care center at 27669 Highway 125, Scotland Neck, Halifax County, North Carolina. the facility offers assisted living, memory care, respite care, and secured living with 24-hour staffing. Amenities include housekeeping, transportation services, restaurant-style dining, library, entertainment room, and outdoor common area. CMS Overall Rating is 2 out of 5 stars.

Current occupancy is 54 residents from a 60-bed capacity (90 percent). The facility accepts Medicaid but not Medicare.

The regulatory record spans two years with deficiency patterns in medication administration, dietary management, supervision, cleanliness, and controlled substance recordkeeping. Over two years, Scotland House logged eight deficiencies, averaging 4 annually, 23 percent better than North Carolina’s 5.2-deficiency benchmark. An April 13, 2022, annual survey cited three deficiencies: failure to maintain accurate listing of residents with physician-ordered therapeutic diets, failure to serve therapeutic diets as ordered for one resident with mechanical soft diet order, and medication administration errors for two residents including blood pressure medication administered more frequently than prescribed and dementia medication not administered for 27 days. A November 15, 2024, annual and follow-up survey cited five deficiencies: failure to maintain cleanliness in special care unit resident room and shared bathroom with cigarette burn holes, stains, dirt, and smoke odor, failure to provide supervision for a resident with smoking behaviors resulting in burn holes in clothing and bathroom floor creating fire risk, failure to ensure health care coordination and follow-up for a resident including failure to coordinate orthopedic referral for broken arm and obtain x-ray for rib injury, failure to administer medications as ordered for two residents including missed Lorazepam doses for one resident and incorrect insulin dosing for another, and failure to maintain accurate controlled substance records with 30 unaccounted Tramadol doses.

Occupancy has remained high at 90 percent as of November 2024. No fines or license suspensions are recorded. Verify dietary menu accuracy and implementation, resident supervision procedures especially for residents with behavioral risks like smoking, controlled substance security and reconciliation protocols, facility cleanliness and maintenance standards, and fire safety procedures.

The facility’s 2-star CMS rating combined with recurring deficiencies across medication administration, dietary compliance, resident supervision, and controlled substance management indicate systemic operational challenges. The 2.5-year gap between the April 2022 and November 2024 inspections shows unresolved issues persisting. The November 2024 deficiencies spanning unsafe unsupervised smoking creating fire risk, missed and incorrect medication doses, unaccounted controlled substances, and failure to coordinate orthopedic care represent serious patient safety concerns.

Families should ask about corrective actions and current systems for medication administration and fire safety implemented following the November 2024 inspection.

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Facility Direct Line (252) 826-0475