Inspection Reports for Brookdale Peachtree

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

Deficiencies identified in prior inspections have been corrected. No further action is needed.

This report documents a Construction Section Biennial Survey conducted on April 18, 2019, to assess compliance with the 1996 Homes for the Aged and Disabled Minimum Standards and Regulations, applicable 2005 Rules for Adult Care Homes, and the 1996 North Carolina State Building Code.

Multiple deficiencies were cited including failure to meet delayed egress locking system code requirements, lack of current sanitation and fire safety inspection reports, unclean and unrepaired housekeeping and furnishings, hazards related to unsecured oxygen cylinders, unsafe and non-operating building equipment and fire safety systems, electrical system issues, inadequate maintenance of the commercial kitchen hood fire suppression system, damaged clothes dryer duct, corridor doors not resisting smoke passage, sprinkler system issues, improper ice machine drain installation, and failure of required exhaust ventilation systems in multiple areas.

Biennial follow-up construction survey conducted to verify correction of previously cited deficiencies related to physical plant conditions.

Multiple deficiencies were found including black mold growth on the ceiling, improper ice machine drain line installation, inadequate fire safety rehearsals documentation, malfunctioning exit signs, corridor doors not latching properly, and non-functioning exhaust ventilation in certain bathrooms.

This was a Construction Section Biennial Survey conducted to ensure the facility meets applicable physical plant, building, and safety codes and regulations.

The survey identified multiple deficiencies including delayed egress doors not meeting force requirements, significant black mold growth, unsafe handling of portable oxygen cylinders, improper placement of cooking equipment, use of prohibited multi-outlet plug adapters, inadequate fire safety rehearsals, malfunctioning exit signs, compromised fire-rated walls and ceilings, corridor doors not latching properly, and non-functioning exhaust ventilation in several areas.

The Adult Care Licensure Section conducted an annual and follow-up survey on 4/19/16 and 4/20/16 to assess compliance with licensed health professional support requirements.

The facility failed to assure that a Licensed Health Professional Support (LHPS) assessment was completed for 2 of 5 sampled residents (Residents #2 and #3) for tasks including finger stick blood sugars, nebulizer treatments, and compression hose application and removal. The facility's RN and LPN had recently resigned, and no LHPS assessments were documented after November 2015 for Resident #3 and after December 2015 for Resident #2.

Follow-up survey conducted to verify correction of previously identified deficiencies related to the facility's outside premises safety.

The outside grounds were found not to be maintained in a safe condition, with two portions of the exit walkway submerged under water and no corrections begun as of the follow-up date.

Follow-up survey conducted to verify correction of previously identified deficiencies at the facility.

Not all deficiencies were corrected. Major repairs were underway without required building permits, ventilation systems were not functioning properly, corridors were severely obstructed reducing exit access, and outside premises were unsafe due to submerged exit walkways.

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

Multiple physical plant deficiencies were identified including unstable hand grips in bathrooms, excessive dust accumulation on exhaust fans, improper ice machine drainage, non-functional ground fault interrupters, breaches in fire-resistance construction, corridor doors not latching properly, emergency exit signs not working on backup power, unsecured oxygen cylinders, incomplete fire sprinkler protection, electrical panels obstructed, hot water temperature below required minimum, and non-working exhaust ventilation in the kitchen mop closet.