Inspection Reports for Brighton Gardens of Charlotte

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted a follow-up survey from October 22, 2024 through October 24, 2024 to verify correction of previous deficiencies related to health care and medication administration.

The facility failed to ensure proper referral and follow-up for therapy services for Resident #4 and failed to administer medications as ordered for Resident #1 and Resident #5. Specifically, Resident #1 missed sliding scale insulin (SSI) for 9 days and clonidine was not administered as ordered for high blood pressure. Resident #5's medication time change for Seroquel was not implemented as ordered.

The Adult Care Licensure Section and Mecklenburg County Department of Social Services conducted an annual survey from June 25, 2024 through June 27, 2024 to assess compliance with health care regulations and facility standards.

The facility failed to ensure proper referral and follow-up for a diabetic resident with high blood sugar levels, failed to provide a therapeutic diet as ordered for a resident, and failed to accurately document medication administration related to sliding scale insulin for a diabetic resident, resulting in serious physical harm and multiple Type A1 violations.

Biennial Follow Up Construction Survey conducted to verify correction of previously identified deficiencies related to physical plant and fire safety code compliance.

The facility failed to correct several deficiencies including improper installation of fire dampers that do not resist smoke passage, corridors obstructed by equipment reducing clear width, holes and gaps in fire resistant ceilings and walls, and fire safety doors that do not close or latch properly. Some staff were unaware of lockbox codes for emergency overrides.

The report documents a Construction Section Biennial Survey conducted to assess compliance with licensure, building codes, and safety regulations for the facility.

Multiple deficiencies were cited including failure to meet building and fire safety codes, lack of current fire inspection reports, obstructions in corridors, unsafe housekeeping and maintenance conditions, failure to maintain fire safety and electrical equipment in safe operating condition, and inadequate exhaust ventilation in required areas.

The Adult Care Licensure Section and Mecklenburg County Department of Social Services conducted an annual survey of Brighton Gardens of Charlotte from January 9 to 12, 2018.

The facility failed to serve therapeutic diets as ordered for 3 of 4 sampled residents, failed to clarify medication orders for one resident, failed to administer medications as ordered for one resident, failed to implement infection control policies consistent with CDC guidelines for glucometer use, and failed to ensure medication aides completed required training.

Biennial Construction Survey conducted to assess compliance with the 1996 Homes for the Aged and Disabled Minimum Standards and Regulations, 2005 Rules for Adult Care Homes, and the 1996 North Carolina State Building Code.

Multiple deficiencies were cited including failure to prevent odors due to housekeeping issues, stained and damaged furnishings, unsafe corridor access panels, lack of vacuum breaker on hair wash sink, inadequate fire protection and emergency lighting, unsealed penetrations in ceiling construction, and lack of mechanical exhaust ventilation in specified areas.

The inspection was conducted as a Biennial Construction Complaint Survey triggered by a complaint alleging that the facility made changes to their locking system for the Special Care Unit (SCU) without obtaining required consultation, review, and approval from Construction Sections and the Fire Official.

The complaint was substantiated. Physical plant deficiencies were noted including missing emergency release switches on locked doors in the SCU, absence of a wiring diagram and system components map at the fire alarm panel, and exits not meeting NC State Building Code requirements such as a gate swinging inward instead of outward, potentially affecting safe egress during emergencies.

Complaint was substantiated regarding unauthorized changes to the locking system for the SCU without required approvals.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted a complaint investigation initiated on 08/28/2015 regarding concerns about resident supervision and elopement from the Special Care Unit (SCU).

The facility failed to provide adequate supervision for residents in the SCU, resulting in two residents eloping from the unit and facility. The main SCU exit door had a 10-second delay before locking, and staff monitoring and documentation practices were inadequate. The facility implemented a plan of correction including door modifications, staff training, and improved monitoring.

Complaint investigation was initiated by Mecklenburg County Department of Social Services on 08/28/2015 due to concerns about resident elopement from the SCU. Two residents (Resident #1 and Resident #3) eloped on 09/11/2015 with no apparent injury. The investigation included interviews, observations, and record reviews confirming inadequate supervision and door locking delays.

The inspection was conducted to assess compliance with nutrition and food service regulations, specifically to verify that the facility served the required citrus fruit or 100% vitamin C juice as listed on the facility menu.

The facility failed to serve a citrus fruit or a single strength juice with 100% of the recommended dietary allowance of vitamin C as required. The Orange Juice Cocktail served was only 65% real fruit juice and did not meet the regulatory requirement.