Inspection Reports for Avendelle at Wyckford
4520 Dilford Dr, Raleigh, NC 27604, NC, 27604
Back to Facility ProfileDeficiencies per Year
20
15
10
5
0
Unclassified
Inspection Report
Follow-Up
Deficiencies: 12
Nov 13, 2024
Visit Reason
The Division of Health Service Regulation conducted a biennial follow-up survey to assess correction of previously cited deficiencies and to identify any new deficiencies at the facility.
Findings
None of the previously cited deficiencies were corrected and new deficiencies were noted, requiring further action. Deficiencies included issues with exit door hardware, fire safety system operation and training, fire drill documentation, building equipment maintenance, and safety hazards such as blocked egress paths and damaged window screens.
Deficiencies (12)
| Description |
|---|
| Front and back doorknobs were not single motion knobs, not compliant with exit door lock requirements. |
| Staff did not know how to operate the fire panel system; fire alarm could not be tested at the time of survey. |
| Fire drill log was not available for review; staff not trained to put fire system in test mode to activate smoke alarms during drills. |
| Fire extinguishers were not monitored monthly; range hood light not working. |
| Burnt out bulbs in left rear bathroom. |
| Open junction box in attic not properly capped. |
| Gutters clogged with leaves. |
| Egress path walkway from back had a drop off causing a possible fall hazard. |
| Tree limbs hanging on roof and vegetation against home not removed. |
| Right-side window screen had a hole allowing potential pest entry. |
| Right path of egress blocked by trash cans and broken mirror. |
| Back right closet light working intermittently. |
Report Facts
Deficiencies cited: 13
Survey duration: 75
Fire alarm signal delay: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Myers | Surveyor | Reported the biennial follow-up survey findings. |
| John Boyette | Deputy Fire Marshall | Contacted to test the fire alarm system and confirmed repair scheduling. |
Inspection Report
Follow-Up
Deficiencies: 17
Jun 18, 2024
Visit Reason
The Division of Health Service Regulation conducted a Biennial Follow-up Survey to verify correction of previously cited deficiencies and to identify any new deficiencies at the facility.
Findings
At the time of the survey, none of the previously cited deficiencies were corrected and new deficiencies were noted. Deficiencies included lack of current sanitation and fire safety approvals, non-compliant exit door locks, staff untrained on fire alarm operation, missing smoke detectors, unavailable fire drill logs, unmonitored fire extinguishers, electrical issues, maintenance problems, and exterior hazards.
Deficiencies (17)
| Description |
|---|
| Fire inspection and sanitation inspection reports were not available for review. |
| Deadbolt lock on the front storm door was not easily operable by a single hand motion from inside. |
| Staff did not know how to put the fire alarm in test mode or silence and reset the alarm; fire alarm could not be tested. |
| Smoke detector in the front foyer had been removed. |
| Fire drill log was not available for review; staff not trained on activating fire alarm system during drills. |
| Fire extinguishers were not being monitored on a monthly basis. |
| Light for the range hood was not working. |
| Both receptacles in the left rear bathroom had reversed hot and neutral wires. |
| Burned out bulbs in the left rear bathroom. |
| Door to the water heater closet was locked and staff did not have the key. |
| Light switch in the front right bathroom was loose and bulbs were burned out. |
| Open junction box in the attic to the right side of the attic stairs. |
| Gutters were clogged with leaves. |
| Egress path walkway from the back had a drop off causing a possible fall hazard. |
| Tree limbs hanging on the front left and back right roof, vegetation against the front left, and low hanging limbs at the front entrance. |
| Two right side window screens had holes allowing pests to enter. |
| Back door jamb showing signs of deterioration. |
Report Facts
Survey duration: 55
Survey time: 55
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Myers | Surveyor who conducted the Biennial Follow-up Survey. |
Inspection Report
Capacity: 6
Deficiencies: 13
Feb 21, 2024
Visit Reason
The Division of Health Service Regulation conducted a Biennial Survey to ensure compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the 2012 North Carolina State Building Code for a small non-ambulatory care facility.
Findings
Multiple deficiencies were cited including lack of current sanitation and fire safety inspection reports, presence of a deadbolt lock on an exit door, failure to monitor fire extinguishers monthly, missing smoke detector, electrical issues, maintenance problems, and staff not trained on fire alarm operation.
Deficiencies (13)
| Description |
|---|
| Fire inspection and sanitation inspection reports were not available for review; fire drill logs were also not available. |
| Deadbolt lock on the front storm door was observed, which is not easily operable by a single hand motion from inside. |
| Fire extinguishers were not being monitored monthly; tags were not dated or initialed. |
| Smoke detector in the front foyer had been removed and was missing. |
| Light for the range hood was not working. |
| Both receptacles in the left rear bathroom had reversed hot and neutral wires. |
| Burned out bulbs in the left rear bathroom. |
| Door to the water heater closet was locked and staff did not have the key. |
| Light switch in the front right bathroom was loose and bulbs were burned out. |
| Open junction box in the attic to the right side of the attic stairs. |
| Gutters were clogged with leaves. |
| Egress path walkway from the back had a drop off causing a possible fall hazard. |
| Staff did not know how to put the fire alarm in test mode or how to silence and reset the alarm; fire alarm could not be tested. |
Report Facts
Licensed capacity: 6
Inspection Report
Annual Inspection
Deficiencies: 1
Jan 19, 2024
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey of Avendelle Assisted Living on January 19, 2024.
Findings
The facility failed to ensure that 2 of 3 sampled residents (#1 and #3) had completed the required two-step tuberculosis (TB) testing upon admission in compliance with state control measures. Documentation was missing or incomplete for these residents' TB testing.
Deficiencies (1)
| Description |
|---|
| Failure to ensure 2 of 3 sampled residents had completed two-step tuberculosis testing upon admission as required. |
Report Facts
Sampled residents with TB testing deficiencies: 2
Sample size: 3
Inspection Report
Annual Inspection
Census: 6
Deficiencies: 1
Jul 15, 2021
Visit Reason
The Adult Care Licensure Section conducted an annual survey of Avendelle Assisted Living at Wyckford on July 15, 2021.
Findings
The facility failed to ensure implementation and maintenance of CDC and North Carolina DHHS guidance related to infection prevention and control during the COVID-19 pandemic, specifically regarding the use of personal protective equipment (PPE) face masks by staff to reduce transmission risk.
Deficiencies (1)
| Description |
|---|
| Failure to ensure staff wore face masks as required by CDC and NC DHHS guidance during the COVID-19 pandemic. |
Report Facts
Residents present: 6
Residents observed in living room: 4
Staff observed without face masks: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Supervisor in Charge | Supervisor in Charge (SIC) | Interviewed regarding PPE availability and staff mask use |
| Resident Care Coordinator | Resident Care Coordinator (RCC) | Interviewed regarding COVID-19 training and PPE policies |
| Administrator | Administrator | Interviewed regarding COVID-19 policy and staff compliance |
| Personal Care Aide | Personal Care Aide (PCA) | Interviewed regarding PPE use and availability |
Inspection Report
Capacity: 6
Deficiencies: 9
Dec 6, 2019
Visit Reason
The Division of Health Service Regulation conducted a Biennial Survey to ensure compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the 2012 North Carolina State Building Code for a facility licensed for six non-ambulatory residents.
Findings
Multiple deficiencies were cited including lack of a ramp at the back entrance for non-ambulatory residents, failure to inspect fire extinguishers monthly, lint buildup behind the dryer, loose toilet base, damaged electrical receptacle covers, trip hazards on the front patio, difficult emergency egress access at a bedroom window, and unauthorized video camera use in a resident's bedroom.
Deficiencies (9)
| Description |
|---|
| Back entrance missing a ramp for non-ambulatory residents, not compliant with rule requiring accessible ramps. |
| Fire extinguishers not inspected monthly by staff. |
| Build up of lint behind the dryer. |
| Toilet in master bathroom loose at its base. |
| Electrical receptacle to the left of kitchen sink embedded into the wall. |
| Damaged receptacle covers in the kitchen needing replacement (corrected on site). |
| Window for Bedroom #4 difficult to access, impeding emergency egress. |
| Front patio not at grade with surrounding grassy area, creating a trip hazard. |
| Video camera used in Bedroom #3 connected to a monitor in the kitchen, violating resident privacy rights. |
Report Facts
Licensed capacity: 6
Inspection Report
Capacity: 6
Deficiencies: 1
Mar 30, 2017
Visit Reason
The Division of Health Service Regulation conducted a Biennial Survey to ensure compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the 2012 North Carolina State Building Code for Small Non-ambulatory Care Facilities.
Findings
The building was found not to be maintained in a safe and operating condition due to furniture blocking a window in the front right bedroom, which must be accessible for emergency egress.
Deficiencies (1)
| Description |
|---|
| Furniture blocking the window in the front right bedroom, preventing emergency egress. |
Report Facts
Licensed capacity: 6
Loading inspection reports...
