Inspection Reports for Brookdale Northwest Greensboro

This is a Construction Section Biennial Follow Up Survey conducted to verify correction of previously identified deficiencies related to sanitation and fire safety reports.

Deficiencies remain uncorrected as the facility failed to maintain current sanitation and fire and building safety inspection reports, including the absence of a Fire Official (Fire Marshal) report and a NFPA 25 report for water-based fire protection system.

The Adult Care Licensure Section conducted an annual survey from February 25, 2025 to February 27, 2025 to assess compliance with regulations.

The facility failed to serve therapeutic diets as ordered for one of five sampled residents (#4) who had an order for a texture modified diet. Resident #4 was initially served a regular diet instead of the prescribed texture modified diet, which she was unable to eat due to arthritis and poor oral health. A replacement meal was provided after the error was identified.

This is a Construction Section Biennial Follow Up Survey conducted to ensure the facility meets the 1996 Homes for the Aged and Disabled Minimum Standards and Regulations, the 2005 Rules for Adult Care Homes of Seven or More Beds, and the 1996 Edition of the North Carolina State Building Code.

Deficiencies were cited requiring a Plan of Correction, including failure to maintain current sanitation and fire safety inspection reports, unsafe outside premises with uneven sidewalks, and inadequate outdoor lighting around the facility.

The Adult Care Licensure Section conducted a follow-up survey on May 25 - 26, 2022 to verify correction of previously cited deficiencies related to medication administration and medication preparation.

The facility failed to administer medications as ordered for one resident due to missed doses of omeprazole for acid reflux, with documentation discrepancies indicating medication was administered when it was not available. Additionally, medications prepared in advance for two residents were not properly labeled, sealed, or protected from contamination, posing a risk of administering medications to the wrong resident.

The Adult Care Licensure Section conducted an annual survey from 02/23/22 through 02/25/22 to assess compliance with health care regulations and medication administration standards.

The facility failed to ensure appropriate referral scheduling for a cardiologist appointment, failed to administer medications and treatments as ordered for two residents, including glucose tablets, diuretics, antihypertensives, and TED hose, and failed to maintain accurate medication administration records for one resident.

This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to building equipment and fire safety systems.

The facility had deficiencies in maintaining electrical emergency/safety lighting and fire safety systems. Emergency lights in the corridor for Rooms 1-17 did not illuminate, and holes sealed with non-compliant foam sealant were found in a mechanical closet, allowing potential fire and smoke spread.

Biennial Section Construction Survey conducted to assess compliance with the 1996 Homes for the Aged and Disabled Minimum Standards and Regulations, the 2005 Rules for Adult Care Homes of Seven or More Beds, and the 1996 North Carolina State Building Code.

Multiple deficiencies were cited including issues with housekeeping and furnishings, facility not maintained free of hazards, inadequate fire safety rehearsals documentation, failure to maintain fire safety and electrical equipment in safe operating condition, and hot water temperature exceeding regulatory limits.

The Adult Care Licensure Section conducted an annual and follow-up survey on April 24-25, 2018 to assess compliance with state regulations including hot water temperature requirements and staff training.

The facility failed to maintain hot water temperatures within the required range of 100-116 degrees F at 10 of 10 sampled sinks, posing a risk of serious injury to residents. Additionally, the facility failed to ensure at least one staff person on third shift had current CPR certification for 7 of 25 days. The facility also failed to serve milk at least twice daily as required by regulation.

Follow Up Survey conducted to verify correction of deficiencies noted during the Biennial Survey on 2016-09-07.

Deficiencies related to maintaining the building and fire safety equipment in a safe and operating condition remain uncorrected. Specifically, there are holes in the attic access panel outside Room 19 and unsealed 2-inch EMT ceiling penetrations in Mechanical Room B, which could allow fire and smoke to spread beyond the area of origin.

This is a Biennial Construction Survey conducted to ensure the facility meets applicable standards including the 1996 Homes for the Aged and Disabled Minimum Standards and Regulations, 2005 Rules for Adult Care Homes, and the 1996 North Carolina State Building Code.

Multiple deficiencies were cited related to housekeeping, maintenance, fire safety, and ventilation. These include dust accumulation on HVAC devices, cracked floor tiles, doors that do not latch, improperly stored oxygen tanks, clogged fire detection tubes, unsealed ceiling penetrations, non-functioning emergency lighting, and inadequate exhaust ventilation in bathrooms.

The Adult Care Licensure Section and the Guilford County Department of Social Services conducted an annual survey on May 18, 19 and 20, 2016 to assess compliance with regulations for adult care homes.

The facility failed to ensure that therapeutic diets, specifically liberalized renal diets, were served as ordered for 2 of 5 sampled residents. Additionally, medication administration errors were identified for 1 of 6 sampled residents regarding aspirin dosing, with two doses administered daily instead of one as ordered.