Inspection Reports for Brookdale Burlington

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 Biennial Follow Up Construction Survey conducted to verify correction of previously identified deficiencies related to building equipment and safety.

The survey found that deficiencies from the prior Biennial Construction Survey remain uncorrected, including missing sprinkler escutcheon plates in the entrance portico and non-functioning exhaust fans in the laundry areas.

The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the 1996 (1999) Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure during a Construction Section Biennial Survey.

Multiple deficiencies were cited including failure to maintain current sanitation and fire safety inspection reports, lack of ground fault protection in electrical outlets near water sources, unsafe and non-operating emergency equipment such as exit lights, missing sprinkler escutcheon plates, and non-functioning exhaust ventilation fans in laundry areas.

The Adult Care Licensure Section conducted an annual survey from April 19, 2022 to April 21, 2022 to assess compliance with regulatory requirements for the facility.

The facility failed to ensure therapeutic diets were served as ordered for 3 of 9 sampled residents (#1, #4, #8), including carbohydrate-controlled, finger food, and 2gram sodium diets. Additionally, medication administration errors were observed for 2 of 4 residents (#4 and #10), including crushing medications without orders and incorrect dosing of nasal spray.

The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the 1996 (1999) Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure.

Multiple deficiencies were cited related to physical plant and safety, including failure to meet life safety equipment standards, exit door locks not operable by single hand motion, housekeeping and furnishings not clean or in good repair, lack of documented fire safety rehearsals, failure to maintain fire safety and emergency lighting equipment in safe operating condition, and inadequate exhaust ventilation in required areas.

The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the 1996 (1999) Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure.

The inspection identified multiple deficiencies including failure to maintain emergency exits with proper key access for magnetic locks, unreliable emergency exit gate unlocking methods, inactive monitored fire alarm system, unclean ceilings with dust accumulation, fire safety doors not closing and latching properly, and failure to maintain required exhaust ventilation systems in working order.