Inspection Reports for Brookdale Lawndale Park

The Adult Care Licensure Section conducted an annual survey of Brookdale Lawndale Park from September 26-28, 2023 to assess compliance with state regulations for adult care facilities.

The facility was found deficient in multiple areas including medication aide qualifications, competency validation for licensed health professional support tasks, failure to ensure physician notification related to lost compression stockings for a resident, failure to implement physician orders for thrombo-embolic deterrent hose, and failure to administer medications as ordered for an antifungal medication and topical corticosteroid cream.

The visit was a Biennial Follow Up Construction Survey to verify correction of previously cited deficiencies related to the facility's construction and physical plant.

The facility failed to maintain the required exhaust ventilation system in certain rooms; specifically, the residents' half bathroom exhaust fan was not working and a utility room fan was running but not removing sufficient air. Fans have been ordered and will be installed upon receipt.

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

Multiple deficiencies were cited related to housekeeping, maintenance, fire safety rehearsals, building equipment safety, fire safety, electrical system safety, fire suppression system maintenance, smoke tight corridor doors, sprinkler system maintenance, and exhaust ventilation system performance.

The Adult Care Licensure Section and the Guilford County Department of Social Services completed a follow-up survey to verify correction of previous deficiencies related to health care and medication administration.

The facility failed to ensure physician notification for one resident regarding high blood pressure readings, constituting an unabated Type B violation. Additionally, the facility failed to implement physician orders properly for applying and removing thrombo-embolic deterrent (TED) hose for two residents, and the electronic medication administration record (eMAR) was inaccurate regarding TED hose application and removal documentation.

The Adult Care Licensure Section and Guilford County Department of Social Services conducted an annual survey on March 21-23, 2018 with an exit via telephone on March 26, 2018.

The facility failed to ensure physician notification for blood pressure results and scheduling of INR lab appointments for Resident #3, and failed to administer medications as ordered for Resident #3, including insulin, diuretics, beta blockers, vasodilators, analgesics, and anti-inflammatories. Additionally, the facility failed to provide required disclosure information for Resident #1 admitted to the Special Care Unit.

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

The survey identified multiple deficiencies related to physical plant and safety code compliance, including issues with delayed egress door signage and override switch operation, unlocked janitor closets containing hazardous cleaning agents, loose door hardware, unsecured oxygen tanks, faulty ground fault circuit interrupters, fire safety equipment not maintained in safe and operating condition, gaps and damage in fire-rated ceilings, and non-operational exhaust ventilation.

This report is of a Followup Survey conducted to verify whether previously identified deficiencies have been corrected at Brookdale Lawndale Park.

The follow-up survey found that not all deficiencies had been corrected. Observations included improper storage too close to a fire sprinkler head, a non-functioning alarm sounding device over an emergency magnetic lock release switch, and an ice machine drain line resting on the floor drain cover.

The Adult Care Licensure Section conducted an annual survey of Brookdale Lawndale Park on 12/15/15 through 12/17/15 to assess compliance with health care regulations and resident care standards.

The facility failed to assure physician orders related to wound care were implemented, resulting in amputations for Resident #3, and failed to ensure follow-up with a physician regarding Resident #2's refusal of insulin and fingerstick blood sugar monitoring. Additionally, the facility failed to complete quarterly assessments for residents in the Special Care Unit and did not implement infection control procedures consistent with CDC guidelines regarding glucometer use and disinfection.

Biennial Construction Survey conducted to assess compliance with physical plant requirements, building codes, and safety regulations for an adult care home licensed for 118 residents including 25 Special Care Unit beds.

The facility failed to meet multiple physical plant and safety requirements including lack of a central emergency release switch for magnetic locks, inadequate emergency lighting, compromised fire-rated walls and ceilings, malfunctioning smoke detectors and fire dampers, unsafe electrical wiring, improper storage near sprinkler heads, and non-functioning exhaust ventilation in key areas.