Inspection Reports for Brighton Gardens of Raleigh

The Adult Care Licensure Section conducted an annual survey of Brighton Gardens of Raleigh from August 20, 2024 through August 22, 2024 to assess compliance with adult care home regulations.

The facility was found deficient in multiple areas including unsecured oxygen cylinders posing safety hazards, delayed staff response to resident call pendants, failure to contact the primary care provider for elevated blood pressures, failure to administer medications as ordered including pain medication, and failure to implement COVID-19 outbreak policies such as posting required signage.

The visit was conducted as an elopement investigation following an incident where a resident with dementia and wandering behaviors exited the facility unsupervised and was found across a busy city street.

The facility failed to provide adequate supervision for one resident with severe dementia and wandering behavior, who eloped from the assisted living facility, crossed a busy street, fell, and was unable to get up until assisted by a city bus driver. This failure resulted in injury, risk of death, and a Type A1 violation.

The investigation was triggered by a complaint regarding the elopement of Resident #1, who wandered off the premises, resulting in injury and risk of death. The complaint was substantiated with findings of inadequate supervision and failure to notify the primary care physician of the resident's wandering behaviors.

Annual survey conducted by the Adult Care Licensure Section from May 11, 2022 through May 13, 2022 to assess compliance with regulations for the facility.

The facility failed to ensure that exit doors in the Special Care Unit (SCU) were properly locked and equipped with functioning alarms, resulting in a resident eloping and walking along a busy highway. Additionally, the facility failed to provide adequate supervision to the same resident with known wandering behaviors, and failed to administer medications as ordered for multiple residents, including insulin and eye drops, and failed to administer a vitamin supplement after dialysis treatment as ordered.

The Adult Care Licensure Section conducted an annual survey of Brighton Gardens of Raleigh from August 20-22, 2019 to assess compliance with adult care home regulations.

The facility failed to ensure residents on the Assisted Living Unit (ALU) and Special Care Unit (SCU) were served or offered 8 ounces of milk twice daily as required by the menu. Additionally, medication administration errors were identified for two residents, including failure to update medication orders and incomplete administration of prescribed pain medication.

The visit was a Construction Section Biennial Survey to assess compliance with applicable physical plant and safety standards for the facility licensed for 115 beds, including 25 Special Care Beds.

Multiple deficiencies were cited related to physical plant and safety code compliance, including lack of emergency release switches in the Memory Care Unit, trip hazards from rugs, unclean floors, non-functioning emergency lighting and exit signage, unsecured magnetic door holders, lack of ground-fault circuit interrupters in wet areas, and inadequate exhaust ventilation in various facility locations.

The Adult Care Licensure Section conducted an annual and follow-up survey on 08/17/16 - 08/19/16 to assess compliance with regulations and investigate a prior incident involving resident elopement.

The facility failed to ensure that two exit gates in the special care unit (SCU) courtyard were equipped with sounding devices that activated when opened, resulting in two residents with dementia eloping from the secured courtyard without staff knowledge. The residents were later found unsupervised by maintenance staff. The facility updated care plans and implemented staff supervision requirements for residents outside the SCU courtyard.

This is a follow-up survey conducted to verify correction of previously identified deficiencies at Brighton Gardens of Raleigh.

The follow-up survey revealed that not all deficiencies have been corrected. Observations included stained ceiling tiles in the Special Care Unit, unsecured oxygen bottles in Room 342, unsealed communications conduits and holes in the Main Mechanical Room, emergency lights failing to illuminate on battery, and electrical receptacles in the Beauty Parlor not GFCI protected with polarity and grounding issues.

This is a Biennial Construction Survey conducted to assess compliance with construction, physical plant, housekeeping, safety, and equipment regulations for an adult care home.

The facility failed to obtain required approvals for changes to magnetic locking systems, maintain building and furnishings in good repair and clean condition, maintain the building free of hazards including unsecured oxygen bottles and loose grab bars, ensure emergency exiting hardware is functional, maintain fire resistance of building components, maintain safety systems in operating condition, and maintain electrical systems safe and operating.

The Adult Care Licensure Section conducted an annual and follow-up survey from 3/17/2015 through 3/19/2015 to assess compliance with adult care home regulations.

The facility failed to keep walls in good repair and rugs clean in 10 out of 41 resident rooms on the third floor, and failed to assure that two of six sampled staff had completed required national criminal background checks.