Inspection Reports for Brookdale Asheville Overlook

The inspection was conducted as a complaint investigation to assess medication administration errors and follow-up on health care needs for residents at Brookdale Asheville Overlook.

The facility failed to administer medications as ordered for 3 of 6 sampled residents, resulting in a hypertensive crisis requiring ICU admission for one resident. Additionally, the facility failed to notify primary care physicians of elevated blood pressures and medication errors for three residents, constituting serious neglect and health care follow-up failures.

The visit was complaint-related, triggered by allegations of medication errors and failure to follow up on health care needs. The complaint was substantiated with findings of medication administration errors and lack of PCP notification.

This is a Construction Section Biennial Survey conducted to ensure the facility meets applicable building, safety, and adult care home regulations.

Multiple deficiencies were cited including lack of current sanitation and fire safety inspection reports, dust accumulation on ceilings near HVAC registers, electrical outlets near water sources lacking ground fault protection, plumbing and mechanical systems not maintained safely, and non-operational exhaust fans in housekeeping closets.

The Adult Care Licensure Section and the Buncombe County Department of Social Services conducted an annual survey from 10/17/22 through 10/18/22 to assess compliance with regulations.

The facility failed to notify the county department of social services of an accident requiring emergency medical evaluation for 1 of 5 sampled residents (Resident #2), violating reporting requirements for accidents and incidents.

The report documents a biennial construction section survey conducted to assess compliance with physical plant, fire safety, and building code requirements for an adult care home facility.

Multiple deficiencies were identified including non-compliant delayed egress exit door signage, missing annual fire alarm inspection report, loosely mounted hand grips, improper linen storage, unsafe handling of oxygen cylinders, obstructed exit gate, combustible storage in crawl space, improperly positioned cooking equipment, accumulation of lint, incomplete fire safety rehearsals, malfunctioning electrical outlets and emergency lights, corridor doors not closing or latching properly, compromised fire rated walls and ceilings, malfunctioning exit signs, and non-working exhaust ventilation in a men's bathroom.

The Adult Care Licensure Section and the Buncombe County Department of Social Services conducted an annual survey on July 17-18, 2018.

The facility failed to ensure that one of five staff sampled had no substantiated findings listed on the North Carolina Health Care Personnel Registry before hire. Specifically, Staff B was hired without documentation of an HCPR check completed prior to hire.

The Adult Care Licensure Section and the Buncombe County Department of Social Services conducted an annual survey and a follow-up survey on February 1-3, 2017.

The facility was found deficient in staffing practices where aides performed housekeeping and food service duties beyond allowed limits, lacked designated laundry staff, and had insufficient personal care aides on second shift. Additionally, the facility failed to assure proper referral and follow-up for residents' health care needs and did not administer medications according to licensed practitioner orders for some residents.

This is a biennial construction section survey to assess compliance with physical plant, fire safety, and building code requirements for the licensed adult care home.

The facility was found to have multiple deficiencies including non-compliant exit door signage, improper delayed egress door timing, lack of separation between clean and soiled linen storage, loose toilet mounting, improper ice machine drain line installation, incomplete fire safety rehearsals, malfunctioning fire alarm system components, corridor doors not closing or latching properly, compromised fire-rated walls and ceilings, non-functional emergency lighting, and a non-working GFCI receptacle.