Inspection Reports for Brookdale High Point

The Adult Care Licensure Section conducted an annual survey of Brookdale High Point from April 29, 2025 through April 30, 2025 to assess compliance with adult care home regulations.

The facility failed to provide non-disposable table service for meals served in residents' rooms, instead using disposable plates, cups, and utensils due to a shortage and staffing issues. Additionally, the facility did not ensure water was served to all assisted living residents at each meal, only offering it upon request.

Biennial Construction Section Survey conducted to ensure the facility meets the 1991 Homes for the Aged and Disabled Minimum Standards and Regulations, the 1991 North Carolina State Building Code Section 409 Institutional Occupancy - Group I, and applicable portions of the 2005 Rules for Adult Care Homes of Seven or More Beds.

Multiple deficiencies were cited including unsafe and damaged exterior premises, inadequate outdoor lighting, electrical outlets in wet locations lacking ground fault circuit interrupters, plumbing system issues, fire safety components not maintained properly, and unsafe electrical systems.

The Adult Care Licensure Section conducted a follow-up survey to verify correction of previous deficiencies related to medication administration.

The facility failed to administer medications as ordered for one resident (#4), specifically administering the wrong dosage of diltiazem (240mg instead of 180mg). Medication aides did not notice the incorrect dosage on the medication cart, and the facility's pharmacy communication process was inadequate.

The Adult Care Licensure Section conducted an annual survey and follow up-survey from September 14, 2022 to September 16, 2022 to assess compliance with state regulations.

The facility failed to provide adequate supervision for residents at risk of falls, failed to ensure health care referrals and follow-up for a resident with orders for urinalysis and therapy evaluation, failed to implement physician orders for therapeutic diets, medication administration, and hearing aid assistance, and failed to report an incident requiring emergency medical evaluation to the county department of social services.

The Adult Care Licensure Section conducted an annual survey of Brookdale High Point from 04/30/2019 through 05/02/2019 to assess compliance with state regulations.

The facility was found deficient in assuring physician notification and medication management for Resident #4, failure to serve therapeutic diets as ordered for Resident #2, and failure to administer medications as ordered for Resident #5, including errors with blood pressure medication administration.

This is a Biennial Follow Up Construction Survey conducted to assess compliance with physical plant regulations and to verify correction of previously cited deficiencies.

The facility was found to have deficiencies related to housekeeping and physical plant maintenance, including doors that drag on the floor and fail to latch, failure to maintain fire safety components in safe and operating condition, ongoing replacement of main fire sprinkler lines with a fire watch in place, and a non-operational emergency light in the Resident Program Coordinator's Office supply closet.

This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to construction, sanitation, housekeeping, fire safety, plumbing, HVAC, and hot water system.

Multiple deficiencies were found including failure to meet sanitary requirements related to bed bug prevention, housekeeping hazards with doors dragging and failing to latch, fire safety components not maintained in safe and operating condition including air leaks, non-operating emergency lights, unsecured sprinkler escutcheons, missing directional exit signs, damaged attic access panels, plumbing and HVAC issues, smoke-barrier doors not closing properly, and inadequate hot water temperature.

Biennial Construction Section Survey to ensure compliance with the 1991 Homes for the Aged and Disabled Minimum Standards and Regulations, the 1991 North Carolina State Building Code Section 409 Institutional Occupancy - Group I, and the 2005 Rules for Adult Care Homes of Seven or More Beds.

Multiple deficiencies were cited including failure to prevent and mitigate bed bug infestations, inadequate housekeeping and maintenance leading to hazards and obstructions, failure to maintain fire safety and building equipment in safe and operating condition, presence of prohibited portable electric heaters, and failure to maintain hot water temperatures within safe limits.

The Adult Care Licensure Section conducted a follow-up survey on July 6-7, 2017 to verify correction of previous deficiencies related to medication administration.

The facility failed to administer medications as ordered by a prescribing licensed practitioner for 2 of 5 sampled residents. Resident #5 did not receive Cymbalta as ordered due to failure in entering the order into the electronic Medication Administration Record (eMAR). Resident #1 missed three consecutive doses of Coumadin in June 2017, and the facility lacked a system to track Coumadin administration and INR levels.

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

The facility failed to correct multiple deficiencies related to housekeeping, maintenance, and building safety. Issues included unclean and damaged walls, ceilings, floors, and furniture; excessive dust accumulation; malfunctioning emergency exit signs; gaps in fire-resistance-rated assemblies; lack of maintenance and documentation for the commercial kitchen hood fire extinguishing system; and corridor doors that did not properly latch to resist smoke passage.

Biennial Construction Survey conducted to assess compliance with the 1991 Homes for the Aged and Disabled Minimum Standards and Regulations, the 1991 North Carolina State Building Code, and applicable portions of the 2005 Rules for Adult Care Homes of Seven or More Beds.

Multiple deficiencies were identified including failure to meet building code requirements for delayed egress locking systems, lack of current sanitation and fire safety inspection reports, poor housekeeping and maintenance issues, improperly maintained fire extinguishers, failure to conduct and document fire safety rehearsals, lack of ground fault interrupters in wet locations, and various fire safety and building maintenance issues such as non-operational exit signs on backup power, unsealed penetrations in fire-resistance-rated assemblies, obstructed fire sprinkler heads, and corridor doors not latching properly.

The Adult Care Licensure Section conducted an annual survey of Brookdale High Point on 01/27/16 through 01/29/16 to assess compliance with state regulations.

The facility was found deficient in multiple areas including failure to ensure non-clinical staff had no substantiated findings on the Health Care Personnel Registry prior to hire, failure to ensure referral and follow-up for residents with acute and chronic health conditions, failure to implement physician orders for therapeutic diets and medical devices, and incomplete physician orders for blood pressure monitoring following hospitalization.