Inspection Reports for Brookdale High Point North

Follow Up Construction Survey conducted based on the acceptable Plan of Correction received on May 28, 2025, for the Biennial Construction Follow Up Survey.

All previously cited deficiencies from the prior survey are noted as being corrected, and no further action is required.

The visit was a Construction Section Biennial Follow Up Survey to assess correction of previously identified deficiencies.

Deficiencies remain uncorrected related to the electrical system; specifically, two exterior ground-fault circuit-interrupter (GFCI) electrical power receptacles near HVAC compressors failed to trip when tested.

This is a Construction Section Biennial Survey conducted to assess compliance with physical plant requirements, building codes, and fire safety standards for an adult care home licensed for 102 residents.

Multiple deficiencies were identified including missing fire sprinkler heads, failure to submit construction documents for remodeling, unsafe outside premises, poor housekeeping and maintenance issues, unsafe building equipment and fire safety systems, and inadequate fire safety equipment maintenance.

The Adult Care Licensure Section conducted a follow-up and annual survey from October 29, 2024 to October 31, 2024 to assess compliance with therapeutic diet orders and medication administration.

The facility failed to serve therapeutic diets as ordered for 2 of 3 sampled residents and failed to ensure medications were administered as ordered for 2 of 5 sampled residents, including errors with blood pressure monitoring for medication administration and incorrect administration of a nasal spray.

The Adult Care Licensure Section conducted an annual and a follow-up survey from 05/16/23 to 05/18/23 to assess compliance with health care regulations and resident care standards.

The facility failed to ensure adequate referral and follow-up for residents' health care needs, including podiatry care and notification of abnormal blood sugar readings. Deficiencies were found in implementing physician orders, conducting licensed health professional support evaluations quarterly, and administering medications as ordered, including glucose tablets, pain medication, inhalers, and topical creams.

The Adult Care Licensure Section conducted an Annual Survey and a Complaint investigation on 09/28/21-09/30/21 with an exit conference via telephone on 09/30/21.

The facility failed to ensure competency validation for Licensed Health Professional Support tasks for 2 of 4 sampled staff, and failed to ensure referral and follow-up to meet healthcare needs for 2 of 5 sampled residents related to medication administration and treatment refusals and failure to notify providers as ordered.

Complaint investigation was conducted as part of the visit. The complaint involved failure to ensure competency validation of staff and failure to meet healthcare needs of residents including medication administration and provider notification.

This is a Biennial Follow Up Construction Survey to address previously cited deficiencies from the Biennial Construction Survey that require corrective action and a new Plan of Correction.

The facility failed to maintain ceilings in good repair, specifically sheetrock joint finishes damaged due to water migration at the front entry porch (both main and side entries).

This is a Biennial Follow Up Construction Survey to verify correction of previously cited deficiencies from the Biennial Construction Survey.

The facility failed to maintain ceilings in good repair due to water damage, had multiple doors in disrepair, and lacked mechanical exhaust ventilation in designated areas including bathrooms in the 200 Hall.

The visit was a Construction Section Biennial Survey to assess compliance with the 1996 and applicable portions of the 2005 Rules for Licensing Adult Care Homes and the 1996 North Carolina State Building Code for a Home for the Aged licensed for 102 residents.

Multiple deficiencies were cited related to physical plant maintenance including damaged ceilings due to water migration, unsecured hazardous items, malfunctioning fire safety equipment, excessive particulate buildup in HVAC grilles, unsecured plumbing fixtures, damaged doors, and inadequate mechanical exhaust ventilation.

This was a Construction Section Biennial Survey conducted to assess compliance with the 1996 and 2005 Rules for Licensing of Adult Care Homes and the 1996 North Carolina State Building Code for a Home for the Aged facility.

Multiple deficiencies were cited including unsecured janitor closets with hazardous substances accessible to residents, floors not maintained in good repair creating tripping hazards, excessive dust accumulation on ventilation grilles, incomplete documentation of fire safety rehearsals, emergency equipment and fire safety systems not maintained in safe and operating condition, obstructed fire sprinkler heads, and failure to maintain electrical systems and building components as originally intended.

The Adult Care Licensure Section conducted a Follow Up Survey on January 5-8, 2016 to verify correction of previous deficiencies.

The facility failed to ensure two staff had no substantiated findings on the NC Health Care Personnel Registry prior to hire, failed to assure documentation and implementation of physician's orders for a resident, failed to clarify medication orders leading to duplicate therapy, failed to discontinue medications as ordered, failed to ensure medications were not administered after falling on the floor, and failed to provide medications as ordered due to unavailability.

The Adult Care Licensure Section conducted an annual survey on 08/05/15 and 08/06/15 to assess compliance with state regulations for the adult care home.

The facility was found deficient in multiple areas including failure to complete required tuberculosis testing, health care personnel registry checks, criminal background checks, competency validation for staff, implementation of physician's orders for residents, medication administration timing, infection control procedures related to fingerstick blood sugar monitoring, and controlled substance screening for new employees.

Follow-up construction survey to verify correction of deficiencies cited during the March 26, 2015 Biennial Construction Survey.

The building was found not to be maintained in a safe and operating condition due to issues with the delayed egress system, missing required signage, fire doors being wedged or held open, and breaches in fire-resistance-rated construction compromising fire and smoke containment.

Biennial Construction Survey to assess compliance with the 1996 and applicable portions of the 2005 Rules for Licensing of Adult Care Homes and the 1996 North Carolina State Building Code for a Home for the Aged.

Multiple physical plant deficiencies were identified including plumbing issues, HVAC maintenance problems, lack of fire extinguisher inspection documentation, delayed egress system failures, fire-resistance breaches, improper storage of medical oxygen cylinders, corridor doors held open improperly, emergency lighting and exit sign failures, plumbing hazards, and unsafe electrical conditions.