Deficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Unclassified
NC DHSR Star Rating History
| Date | Rating | Score | Merits | Demerits | Type |
|---|---|---|---|---|---|
| Oct 18, 2024 | 76 | 3.75 | 0 | Follow-Up Inspection | |
| Aug 14, 2024 | 72.25 | 11.25 | 12 | Follow-Up Inspection | |
| Jun 13, 2024 | 73 | 5.5 | 32.5 | Annual Inspection | |
| Jun 2, 2022 | 90.5 | 2.5 | 12 | Annual Inspection | |
| Jan 30, 2020 | 82.5 | 12.5 | 0 | Follow-Up Inspection | |
| May 6, 2019 | 70 | 5.5 | 35.5 | Annual Inspection | |
| Feb 6, 2017 | 93 | 2.5 | 0 | Monitoring Visit | |
| Jun 17, 2015 | 90.5 | 0 | 10 | Monitoring Visit | |
| Jun 8, 2015 | 100.5 | 4.5 | 4 | Annual Inspection | |
| Apr 24, 2013 | 100.5 | 4.5 | 4 | Annual Inspection | |
| Jul 18, 2011 | 104.5 | 4.5 | 0 | Annual Inspection | |
| Oct 12, 2010 | 97.75 | 6.25 | 0 | Follow-Up Inspection | |
| Jul 14, 2010 | 91.5 | 4.5 | 13 | Annual Inspection | |
| Jul 31, 2009 | 100 | 2 | 2 | Annual Inspection |
Inspection Report
Capacity: 104
Deficiencies: 20
Jun 19, 2025
Visit Reason
Biennial Construction Section Survey conducted to assess conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the North Carolina Building Code and licensing rules.
Findings
Multiple deficiencies were cited related to physical plant conditions including lack of current fire and building safety inspection reports, obstructions in corridors, exterior maintenance issues, housekeeping and furnishings in disrepair, failure to conduct required fire safety rehearsals, and numerous fire safety equipment failures including malfunctioning fire alarm system, inoperable fire doors, obstructed sprinkler heads, non-functioning emergency lighting, and missing smoke detectors. Additional issues included unsafe electrical equipment, lack of monthly fire safety equipment inspections, plumbing equipment in poor condition, unsupervised ovens in resident activity areas, and non-functioning exhaust ventilation in specified spaces.
Deficiencies (20)
| Description |
|---|
| Facility did not have approved fire and building safety inspection reports; Dry System inspection failed due to overdue 10 year testing; no inspection report for Wet System. |
| Facility undergoing construction to replace fire alarm system without submitting required Construction Documents and specifications for approval. |
| Corridors obstructed by equipment including armchairs partially blocking egress paths. |
| Exterior grounds not maintained in clean and safe condition; plywood chase buckling with microbial growth; rotten fascia boards at multiple locations. |
| Walls, ceilings, floors, and furniture not kept clean or in good repair; water stains, mildew, holes in walls, damaged ceiling tiles, leaks, and damaged furniture observed. |
| Facility not maintained free of obstructions and hazards; door hardware removed from exercise room doors preventing opening from inside. |
| Fire safety rehearsals not conducted quarterly on each shift; records incomplete and lacking shift information. |
| Failure to maintain emergency fire alarm system devices and equipment in safe operating condition; fire alarm control panel in trouble mode; alarms not sounding in multiple areas; facility under fire watch. |
| Cross corridor doors held open with wedges due to inoperable hold open devices; some fire doors had disabled closers and did not close or latch properly. |
| Sprinkler heads obstructed by cobwebs, lint, and debris; holes and unsealed penetrations in fire resistant ceilings compromising fire safety. |
| Multiple emergency lights and exit signs failed to illuminate during testing. |
| Electrical equipment not maintained safely; missing light covers, dangling exterior flood light, open junction box with holes in ceiling. |
| Fire safety equipment inspections not conducted or documented monthly for kitchen hood suppression system and fire extinguishers. |
| Plumbing equipment in poor condition; corroded faucet with damaged base and dirty sink basin. |
| Smoke detectors missing or removed in multiple locations due to damage from leaks. |
| Fire doors did not fully close and latch, compromising smoke and fire containment. |
| GFCI outlets in laundry area not functioning, posing electrical shock hazard. |
| Cross corridor door did not latch when both doors released simultaneously. |
| Ovens, ranges, and cook tops in resident activity areas not supervised or locked as required. |
| Exhaust ventilation not maintained in specified spaces including men's guest bathroom, residential laundry, and spa, allowing buildup of humidity and odors. |
Report Facts
Total licensed capacity: 104
Inspection Report
Follow-Up
Deficiencies: 2
Jul 26, 2024
Visit Reason
The Adult Care Licensure Section conducted a follow-up survey on July 25-26, 2024 to verify correction of previous deficiencies.
Findings
The facility failed to provide adequate supervision for a resident with a history of repeated falls, resulting in a serious injury after an unwitnessed fall. Additionally, the facility failed to implement physician's orders for wound care for another resident, missing critical dressing changes.
Severity Breakdown
Type A1 Violation: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to provide supervision for 1 of 7 sampled residents (#4) with a history of repeated falls, who sustained an unwitnessed fall and lay on the floor for an unknown period between 10:15pm and 7:00am. | Type A1 Violation |
| Failed to ensure implementation of physician's orders for dressing changes for 1 of 7 sampled residents (#2). | — |
Report Facts
Deficiencies cited: 2
Dates of incident and survey: Jul 26, 2024
Resident #4 fall time range: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Health and Wellness Director | Health and Wellness Director (HWD) | Signed care plans, notified of fall, interviewed regarding supervision failure. |
| Resident Care Coordinator | Resident Care Coordinator (RCC) | Notified about fall, involved in incident response. |
| Medication Aide | Medication Aide (MA) | Interviewed about rounds and medication administration; last to see Resident #4 before fall. |
| Personal Care Aide | Personal Care Aide (PCA) | Interviewed about rounds; failed to check Resident #4 during 3rd shift. |
| Administrator | Administrator | Interviewed about supervision policies and rounds. |
| Health and Wellness Coordinator | Health and Wellness Coordinator (HWC) | Responsible for entering orders into eMAR and reviewing plans of care. |
Inspection Report
Annual Inspection
Deficiencies: 12
May 20, 2024
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey, and complaint investigation on May 14, 2024 through May 17, 2024 and May 20, 2024.
Findings
The facility had multiple deficiencies including failure to verify staff qualifications, competency validation for licensed health professional support tasks, failure to complete resident assessments and care plans after significant changes, failure to provide adequate supervision for a resident with frequent falls, failure to ensure referrals and follow-up for acute health care needs, failure to complete licensed health professional support evaluations, failure to serve therapeutic diets as ordered, failure to treat a resident with dignity and respect, failure to administer medications as ordered, failure to record medication administration immediately after administration, and failure to secure medications properly including refrigeration.
Complaint Details
Complaint investigation was part of the visit related to concerns about staff qualifications, resident care, medication administration, and supervision.
Severity Breakdown
Type A2: 1
Type B: 3
Deficiencies (12)
| Description | Severity |
|---|---|
| Failure to ensure 3 of 6 sampled staff had no substantiated findings on the North Carolina Health Care Personnel Registry prior to hire. | — |
| Failure to ensure 1 of 3 personal care aides and 2 of 3 medication aides had been competency validated for licensed health professional support tasks including urinary catheter care and transfer assistance. | — |
| Failure to complete an assessment and care plan for 1 of 7 sampled residents with significant change in mobility with repeated falls. | — |
| Failure to provide supervision for 1 of 7 sampled residents who was on a blood thinner and had twelve unwitnessed falls in a 4-month period with 3 emergency room visits, including hospitalization for subdural hematoma. | Type A2 |
| Failure to ensure referral and follow-up to meet the acute health care needs of 2 of 7 sampled residents related to failure to notify providers regarding high blood sugars and failure to provide ordered psychiatric and psychotherapy services. | Type B |
| Failure to ensure quarterly licensed health professional support evaluations were completed for 3 of 7 sampled residents to include medication administration and fingerstick blood sugar testing, urinary catheter care, and ambulation assistance. | Type B |
| Failure to ensure all therapeutic diets, including texture modified diets, were served as ordered by the resident's physician for 1 of 7 sampled residents. | — |
| Failure to ensure 1 of 7 sampled residents was treated with dignity and respect related to feeling rushed by staff to take medications. | — |
| Failure to ensure medications were safely secured from residents' access to the medication room which contained an unlocked refrigerator with medications and a rescue inhaler found unsecured in a resident's room. | — |
| Failure to ensure medications requiring refrigeration were stored at 36 degrees F to 46 degrees F. | — |
| Failure to ensure medications were administered as ordered for 2 of 4 residents observed during medication pass and 2 of 7 sampled residents including errors with blood thinner dosage, insulin orders, and blood pressure medication administration. | Type B |
| Failure to ensure the recording of medication administration occurred immediately following administration including observation of medications left in a resident's room. | — |
Report Facts
Deficiencies cited: 2
Medication error rate: 7
FSBS high readings: 22
FSBS high readings: 12
Medication administration opportunities: 27
Medication doses administered: 84
Medication doses administered: 54
Medication doses administered: 9
Medication doses administered: 52
Medication doses administered: 15
Medication doses administered: 31
Medication doses administered: 85
Medication doses administered: 54
Medication doses administered: 10
Medication doses administered: 7
Medication doses administered: 5
Medication doses administered: 4
Medication doses administered: 5
Medication doses administered: 15
Medication doses administered: 6
Medication doses administered: 47
Medication doses administered: 7
Medication doses administered: 14
Medication doses administered: 2
Medication doses administered: 7
Medication doses administered: 12.5
Medication doses administered: 12.5
Medication doses administered: 12.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Health and Wellness Director | Health and Wellness Director | Responsible for LHPS evaluations, training staff on urinary catheter care, and reviewing medication orders |
| Resident Care Coordinator | Resident Care Coordinator | Responsible for processing medication orders and referrals, medication cart audits |
| Health and Wellness Coordinator | Health and Wellness Coordinator | Responsible for medication order review, medication cart audits, and communication with staff |
| Administrator | Administrator | Oversight of facility operations and expectations for staff compliance |
| Medication Aide | Medication Aide | Administered medications including Eliquis and Losartan, responsible for medication cart audits |
| Personal Care Aide | Personal Care Aide | Assisted with catheter care and resident supervision |
Inspection Report
Annual Inspection
Deficiencies: 5
Apr 21, 2022
Visit Reason
The Adult Care Licensure Section conducted an annual and follow up survey on 04/19/22 to 04/21/22 to assess compliance with medication orders and administration regulations.
Findings
The facility failed to clarify medication orders for 3 of 7 sampled residents, resulting in potential medication errors including unclear prednisone orders and insulin sliding scale administration errors. Additionally, medication administration errors were observed involving insulin, constipation medications, and COPD treatments, with a medication error rate of 17%. Infection control deficiencies related to medication administration were also noted.
Deficiencies (5)
| Description |
|---|
| Failed to clarify medication orders for 3 of 7 sampled residents including steroid medication, sliding scale insulin orders, and steroid inhaler. |
| Failed to ensure medications were administered as ordered for 3 of 3 residents during medication pass, including insulin administration errors and medications for constipation and COPD. |
| Failed to ensure accurate recording of medication administration for 2 of 7 residents including observations of morning medications left in a resident's room. |
| Failed to implement infection control measures during medication administration, including failure to wash or sanitize hands between residents. |
| Failed to ensure medication storage was secure and under direct supervision, including medication carts left unlocked and medications left unattended. |
Report Facts
Medication error rate: 17
Sampled residents: 7
Medication administration errors: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Health and Wellness Director | Interviewed regarding medication orders and administration procedures. | |
| Health and Wellness Coordinator | Interviewed regarding medication order transcription and administration. | |
| Medication Aide | Interviewed and observed administering medications including insulin and inhalers. | |
| Resident #2's primary care provider | Interviewed regarding prednisone orders and medication clarification. | |
| Resident #3's primary care provider | Attempted telephone interview regarding medication orders and clarifications. | |
| Resident #5's primary care provider | Interviewed regarding sliding scale insulin orders and medication administration. | |
| Resident #7's primary care provider | Interviewed regarding medication administration and orders. | |
| Resident Care Director | Interviewed regarding medication administration expectations. |
Inspection Report
Follow-Up
Deficiencies: 1
Jan 16, 2020
Visit Reason
This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to facility maintenance and construction.
Findings
The facility has deficiencies related to maintaining ceilings in good repair due to leaks in the sprinkler system. Damaged ceilings were observed in multiple locations including the Maintenance Shop, Lay-in Corridor ceiling tiles on Level 1/Level 2, and hard ceilings in the corridor leading to the lobby on Level 1.
Deficiencies (1)
| Description |
|---|
| Facility failed to maintain ceilings in good repair due to leaks in the sprinkler system causing damage in multiple locations. |
Inspection Report
Follow-Up
Deficiencies: 9
Oct 18, 2019
Visit Reason
Biennial Construction Section Follow-up Survey to verify correction of previously cited deficiencies.
Findings
The facility had corrected some previous deficiencies, but several remained uncorrected including lack of current sanitation and fire safety inspection reports, failure to maintain the building and grounds in a clean and safe condition, damaged ceilings, presence of live roaches, unsafe and non-operational building equipment including fire safety components, plumbing fixtures, and mechanical exhaust system.
Deficiencies (9)
| Description |
|---|
| Failed to have current inspection reports available on site (Building Sanitation Report, Kitchen Sanitation Report, Fire Safety Inspection Report). |
| Failed to maintain the outside premises in a clean and safe condition; standing water, mold, mildew, and ineffective mitigation observed. |
| Ceilings damaged and not in good repair in Maintenance Shop and Lay-in Corridor ceiling tiles on Level 1/Level 2. |
| Facility not maintained free of hazards; live roaches observed in 'B' Side Hall outside Room 121 and Stair 2/Level 1. |
| Failed to maintain building and fire safety, electrical, mechanical, and plumbing equipment in safe and operating condition; smoke detector not secured in Room 145. |
| Conduit penetrations not fire protected at smoke partition outside Room 124, corridor walls outside Rooms 101 and 150. |
| Doors out of adjustment and do not latch properly allowing passage of fire and/or smoke in Guest Men's Bathroom/Level 1 and Laundry Room adjacent to Room 205. |
| Toilet not secured to floor in Room 231. |
| Mechanical exhaust system not functional in Housekeeping Closet adjacent to Room 112. |
Report Facts
Date of survey completion: Oct 18, 2019
Inspection Report
Capacity: 104
Deficiencies: 8
Aug 21, 2019
Visit Reason
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 North Carolina Building Code and licensing rules, as part of a biennial construction section survey.
Findings
Multiple deficiencies were cited related to physical plant and safety including lack of current sanitation and fire safety inspection reports, failure to maintain outside premises and building in a clean and safe condition, damaged ceilings and exhaust fan grilles, obstructions and hazards such as improperly stored oxygen bottles and disconnected dryer vent, fire safety issues including damaged fire-rated doors, unsecured smoke detectors, non-illuminated exit signs, missing sprinkler escutcheons, doors wedged open or not latching properly, and plumbing fixtures not secured. Additionally, the mechanical exhaust system was found non-functional in a housekeeping closet.
Deficiencies (8)
| Description |
|---|
| Failed to have current inspection reports available on site (Building Sanitation, Kitchen Sanitation, Fire Safety Inspection). |
| Outside premises not maintained in a clean and safe condition; standing water, mold, mildew, damaged gutter, rotten wood columns. |
| Ceilings damaged and not in good repair; excessive particulate build-up on exhaust fan grilles. |
| Facility not free of obstructions and hazards; oxygen bottles not stored in approved holders; dryer vent disconnected causing lint accumulation and fire hazard. |
| Fire-rated doors damaged or improperly adjusted allowing passage of smoke/fire; smoke detector unsecured; exit signs not illuminated; emergency lights not functioning; conduit penetrations not fire protected; exit sign chevrons missing. |
| Doors wedged open or out of adjustment not latching properly allowing passage of fire/smoke. |
| Plumbing fixtures not secured (toilet in Room 231, sink in Guest Men's Bathroom). |
| Mechanical exhaust system not functional in Housekeeping Closet adjacent to Room 112. |
Report Facts
Licensed capacity: 104
Inspection Report
Follow-Up
Deficiencies: 1
Jul 11, 2019
Visit Reason
The Adult Care Licensure Section conducted a follow-up survey from 07/09/19 to 07/11/19 to assess correction of previously identified deficiencies related to health care and referral/follow-up for residents' routine and acute health care needs.
Findings
The facility failed to assure referral and follow-up for the routine and acute health care needs of one sampled resident (#3) by not notifying hospice services of new open skin areas on the resident's buttocks. Multiple interviews and observations revealed that the open areas were new but were not reported timely to hospice, delaying wound care orders and appropriate treatment.
Deficiencies (1)
| Description |
|---|
| Failure to assure referral and follow-up for routine and acute health care needs related to failure to notify hospice services of new open skin areas on Resident #3's buttocks. |
Report Facts
Dates of survey: 3
Number of sampled residents with issue: 1
Braden score: 15
Open areas on buttocks: 3
Measurement of open areas: 2
Measurement of open areas: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident #3 | Resident | Subject of the deficiency related to skin breakdown and lack of timely notification to hospice |
| Executive Director | Executive Director | Interviewed regarding facility procedures and reporting |
| Health and Wellness Director | Health and Wellness Director | Interviewed regarding facility procedures and reporting |
| Clinical Specialist | Clinical Specialist | Interviewed regarding facility procedures and reporting |
| Hospice Registered Nurse | Hospice Registered Nurse | Performed skin assessment and notified hospice physician of new open areas |
| Medication Aide/Resident Aide | Medication Aide/Resident Aide | Interviewed regarding care provided and reporting procedures |
| Resident Aide | Resident Aide | Interviewed regarding care provided and reporting procedures |
| Medication Aide | Medication Aide | Interviewed regarding care provided and reporting procedures |
Inspection Report
Annual Inspection
Census: 83
Capacity: 104
Deficiencies: 10
Feb 20, 2019
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey on 02/12/19 - 02/15/19 and 02/18/19 - 02/20/19 to assess compliance with state regulations for an adult care home.
Findings
The facility was found deficient in multiple areas including failure to ensure staff competency validation for licensed health professional support tasks, lack of CPR trained staff on third shift for 9 of 11 days, inadequate staffing levels on 14 of 33 shifts, failure to provide adequate supervision for a resident with multiple falls, medication administration errors with a 28% error rate, incomplete resident care plans with missing physician signatures, failure to provide snacks three times daily, and improper infection control practices related to shared glucometers.
Severity Breakdown
Type B Violation: 4
Type A2 Violation: 2
Deficiencies (10)
| Description | Severity |
|---|---|
| Failure to assure 2 of 5 non-licensed staff had competency validation for licensed health professional support tasks including oxygen administration and catheter care. | — |
| Failure to assure at least one staff person on third shift had current CPR training for 9 of 11 days sampled. | Type B Violation |
| Failure to assure aide hours met minimum requirements on 14 of 33 shifts resulting in inadequate staffing. | Type A2 Violation |
| Failure to assure adequate supervision for a resident with multiple falls resulting in serious injuries. | Type A2 Violation |
| Failure to administer medications as ordered and in accordance with facility policies for 5 of 7 residents observed during medication passes. | Type B Violation |
| Failure to follow-up on medication review recommendations for 3 of 4 residents related to medication orders and physician signatures. | — |
| Failure to notify county department of social services of accidents/incidents resulting in injury requiring emergency medical evaluation or hospitalization for 4 of 4 sampled residents. | — |
| Failure to assure residents received care and services which were adequate, appropriate, and in compliance with relevant laws and regulations related to CPR training, staffing, supervision, medication administration, infection prevention, and medication aide training. | — |
| Failure to implement infection control policy consistent with CDC guidelines for use of glucometers resulting in shared use of glucometers among 13 diabetic residents. | Type B Violation |
| Failure to assure 2 of 5 medication aides administering medications had passed the written medication aide exam within 60 days of hire. | Type B Violation |
Report Facts
Medication error rate: 28
Staffing shortfalls: 14
CPR training absence: 9
Resident census: 83
Facility capacity: 104
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Medication Aide | Named in medication administration errors and failure to pass written medication aide exam within 60 days |
| Staff C | Medication Aide | Named in failure to pass written medication aide exam within 60 days |
| Health and Wellness Director | Registered Nurse | Responsible for LHPS competency validation, medication administration oversight, and infection control |
| Executive Director | Facility leadership responsible for oversight of compliance and staffing | |
| Resident Care Coordinator | Licensed Practical Nurse | Responsible for staffing schedules and medication order tracking |
| Business Office Coordinator | Responsible for personnel records and tracking medication aide exam compliance |
Inspection Report
Complaint Investigation
Capacity: 104
Deficiencies: 2
Aug 3, 2018
Visit Reason
The inspection was conducted in response to a complaint alleging substantial water damage to the facility from recent rains in the area.
Findings
The complaint was substantiated with minimal physical damage to interior surfaces due to flooding. Observations revealed issues with outside premises drainage, including a filled catch basin, poor site grading, and berms trapping water. Additionally, the facility failed to maintain clean and good repair conditions for walls and flooring in multiple areas affected by water migration.
Complaint Details
The complaint was substantiated. The facility suffered water damage from recent rains, confirmed by field observations showing minimal interior damage and issues with outside drainage and premises maintenance.
Deficiencies (2)
| Description |
|---|
| Outside grounds have not been maintained to prevent water migration into the facility under flooding conditions, including a filled catch basin with collapsed drainage piping, poor site grading, and berms trapping water near multiple rooms. |
| Facility failed to keep walls and flooring clean and in good repair in areas subjected to water migration and flooding, including multiple resident rooms, the front administrator's office, exterior dining room walls, and multi-purpose room. |
Report Facts
Total licensed capacity: 104
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Frank Strickland | Conducted the Construction Section Complaint Survey |
Inspection Report
Capacity: 104
Deficiencies: 8
Mar 22, 2017
Visit Reason
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 (1997 Revision) 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.
Findings
Multiple deficiencies were found including unclean ceilings with clogged HVAC grilles, obstructed access to electrical panels, failure of fire safety doors to close and latch properly, use of unapproved devices to prop doors open, penetrations in fire resistant ceilings, non-operational emergency lighting, unsafe electrical equipment usage, and improperly stored oxygen bottles without restraint.
Deficiencies (8)
| Description |
|---|
| Facility has not kept ceilings clean; six ceiling mounted HVAC exhaust and/or return air grilles were clogged hampering normal function. |
| Access to electrical panels in the main electrical room is obstructed by stored items, violating required clearance. |
| Smoke resisting cross corridor doors fail to close and latch properly on multiple floors and locations, preventing containment of smoke or fire. |
| Unapproved devices such as wedges or furniture are used to prop open doors, impeding quick closure to contain smoke or fire. |
| Penetrations and gaps in fire resistant rated ceilings, including open cable sleeves and gaps around exit sign mounting brackets, could allow fire and smoke to spread. |
| Emergency lighting equipment in multiple locations did not operate on battery power and normal electrical power indicators were off. |
| Electrical equipment not maintained safely: power strips plugged into each other and a six outlet adapter without overcurrent protection were observed; one corrected on site. |
| Oxygen bottles stored without restraint, posing a hazard if knocked over. |
Report Facts
Licensed capacity: 104
Number of clogged HVAC grilles: 6
Number of doors propped open: 6
Number of electrical power strips plugged together: 2
Number of outlets on unsafe adapter: 6
Inspection Report
Annual Inspection
Deficiencies: 2
May 12, 2015
Visit Reason
The Adult Care Licensure Section conducted an annual survey of the facility from May 12 to May 14, 2015.
Findings
The facility failed to maintain cleanliness and proper sanitation in the kitchen and food storage areas, including dirty floors, moldy and damaged cooler seals, and unclean equipment. Additionally, the facility did not consistently offer residents snacks three times daily as required by regulations.
Deficiencies (2)
| Description |
|---|
| The kitchen, dining and food storage areas were not clean or protected from contamination, including dirty floors, moldy cooler seals, broken freezer door, and unclean equipment such as the ice machine and can opener. |
| The facility failed to assure residents were offered snacks three times daily as required, with observations and interviews indicating snacks were often offered less frequently or inconsistently. |
Report Facts
Dates of inspection: 3
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