Inspection Reports for Brighton Gardens of Winston-Salem

The Adult Care Licensure Section conducted a follow-up survey on 05/20/25 and 05/21/25 to verify correction of previous deficiencies related to medication self-administration.

The facility failed to ensure that Resident #1 had a physician's order and assessment completed to self-administer medications including cough medicine, stool softener, stomach discomfort medication, and diarrhea medication. Medications were found at the resident's bedside without proper orders or assessments, and staff interviews indicated concerns about the resident's ability to safely self-administer medications.

The Adult Care Licensure Section conducted an annual and follow-up survey with a complaint investigation from 02/18/25 to 02/21/25 and 02/24/25.

The facility failed to ensure tuberculosis testing compliance, supervision according to assessed needs, physician notification for medication refusals and weight loss, proper medication administration, self-administration orders, and timely reporting of abuse incidents. Resident #4 had multiple behavioral issues and medication administration failures. Resident #5 was physically assaulted by another resident and sexually assaulted, with failure to lock the resident's door despite family requests. Resident #1 had medication administration issues including oxygen and compression socks. Resident #7 was served an incorrect diet causing distress.

Complaint investigation included resident-to-resident physical and sexual abuse incidents involving Resident #5, with failure to lock resident's door despite family requests, and failure to notify authorities timely.

Follow up construction survey conducted by documentation review to verify correction of previously cited deficiencies.

All previously cited deficiencies have been corrected based on documentation received, and no further action is required at this time.

This is a Construction Section Biennial Survey conducted to assess compliance with the 1996 and applicable portions of the 2005 Rules for Licensing Adult Care Homes and the 1996 NC State Building Code.

Multiple deficiencies were cited related to physical plant issues including improper use of bathrooms for storage, lack of handrails on steps, missing wanderer alarms, poor housekeeping and maintenance, unsafe storage of oxygen bottles, fire safety system failures, unsafe electrical and plumbing conditions, inadequate supervision of ovens, hot water temperature issues, insufficient lighting, and lack of exhaust ventilation in several areas.

The Adult Care Licensure Section conducted an annual survey on 02/27/24 and 02/28/24 to assess compliance with nutrition and food service regulations in the Special Care Unit (SCU).

The facility failed to ensure that each resident in the SCU was served 8 ounces of milk three times daily and water was served in addition to other beverages at each meal. Staff offered milk and water but did not pour a glass for every resident at every meal, and no tracking was done to ensure compliance.

Report of a Construction Section Biennial Survey conducted on January 10, 2020.

Multiple deficiencies were cited including unsafe outside premises with tripping hazards, electrical outlets in wet locations lacking ground fault interrupters, and building equipment such as smoke tight corridor doors not maintained in a safe and operating condition.

The Adult Care Licensure Section conducted an annual survey on March 6 - 8, 2019 and on March 11, 2019 to assess compliance with state regulations for adult care homes.

The facility was found deficient in multiple areas including failure to ensure tuberculosis testing compliance for staff, failure to verify staff qualifications via the Health Care Personnel Registry, inadequate kitchen cleanliness and food safety practices, medication order clarifications and administration errors, and failure to provide required special care unit staff training. Additionally, the facility failed to respond timely to resident call bells.

This is a biennial follow-up construction survey to verify correction of previously cited deficiencies related to building and physical plant compliance.

Many deficiencies from prior inspections were not corrected, including issues with special locking system doors, obstructed electrical panels, corridor obstructions, improper storage of medical oxygen cylinders, fire sprinkler clearance violations, and fire alarm system trouble conditions.

This is a biennial follow-up construction survey to verify correction of previously cited deficiencies related to physical plant and safety code compliance at Brighton Gardens of Winston Salem.

The facility failed to correct many deficiencies including issues with special locking system doors, obstructed corridors, improper storage of oxygen cylinders, malfunctioning emergency lights, compromised fire-rated doors and walls, incorrect exit signage, and non-functioning exhaust ventilation in the Special Care soiled linen room.

Biennial construction section survey to assess compliance with physical plant, building, fire safety, and housekeeping regulations.

The facility failed to meet multiple NC State Building Code and licensing requirements including issues with special locking systems on doors, obstructed corridors, improper storage of medical oxygen cylinders, fire safety equipment malfunctions, improper storage near sprinkler heads, and inadequate exhaust ventilation.

The Adult Care Licensure Section and Forsyth County Department of Social Services conducted a follow-up survey on May 30-31, 2017 to verify correction of a previous Type B medication administration violation.

The facility failed to ensure medications were administered as ordered by a licensed prescribing practitioner for 1 of 7 sampled residents (Resident #5). Specifically, metoprolol succinate 25mg ER was not administered as ordered, and metoprolol tartrate 25mg was administered instead without checking blood pressure as required. This medication error was detrimental to the resident's health and safety and constituted an unabated Type B violation.

The Adult Care Licensure Section conducted an annual survey from 02/28/17 through 03/02/17 to assess compliance with healthcare regulations and medication administration standards.

The facility failed to implement a physician's order for weekly blood pressure checks for one resident and failed to administer medications as ordered for three residents, including warfarin, aspirin, and respiratory treatments. These failures posed risks of serious health complications. The facility provided a plan of correction to audit medication administration and improve compliance.

This report is of a Follow-up Survey conducted to verify correction of previously identified deficiencies at Brighton Gardens of Winston Salem.

The follow-up survey revealed that not all deficiencies have been corrected. Specifically, the facility did not meet the 1996 NC State Building Code requirements related to special (magnetic) locking, including the absence of an emergency release switch within 3 feet of the exit gate and lack of a wiring diagram and system component map adjacent to the fire alarm panel.

Follow-up survey conducted to assess outstanding deficiencies related to compliance with the 1996 NC State Building Code and licensing rules for adult care homes.

The facility did not meet requirements related to special (magnetic) locking, including staff not carrying emergency release keys, lack of emergency release switch at a locked gate, absence of wiring diagram at the fire alarm panel, and uncertainty if locked doors unlock upon fire alarm activation.

Biennial Construction Survey conducted to assess compliance with the 1996 NC State Building Code and applicable adult care home licensing rules.

Multiple deficiencies were identified including lack of central emergency release switches for magnetic locks, missing emergency release keys among staff, obstructions to electrical panels, missing sanitation inspection report, unpleasant odors in bathrooms, fire safety issues with corridor doors, improper storage of medical oxygen cylinders, compromised fire rated walls, non-functioning GFCI receptacle, and non-working exhaust ventilation in the soiled linen room.