Inspection Reports for Brookdale Salisbury

Report of Construction Section Biennial Survey conducted on August 13, 2025, to assess compliance with applicable licensing rules and building codes for an adult care home.

No deficiencies were cited during the survey. The facility met the 1996 Rules for the Licensing of Adult Care Homes, applicable portions of the 2025 Rules, and the 1996 North Carolina State Building Code.

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

The facility failed to ensure that 2 of 3 sampled medication aides completed the required 5-hour and 10-hour or 15-hour medication aide training prior to administering medications. Additionally, the facility failed to ensure medications were administered as ordered for 1 of 5 residents, specifically Resident #3 missed 28 doses of calcitriol due to lack of a signed discontinuation order.

The Adult Care Licensure Section conducted an annual and follow-up survey on 04/22/25 to 04/23/25 to assess compliance with regulations for assisted living residents.

The facility failed to ensure water was served at each meal for 33 of 52 assisted living residents. Additionally, medications were not administered as ordered for 4 of 5 residents, including failure to provide blood sugar medications, a nasal spray, and improper administration of blood pressure medication, posing health risks to residents.

The Adult Care Licensure Section conducted an annual and a follow-up survey on 01/31/24 and 02/01/24 to assess compliance with regulations related to licensed health professional support and medication administration.

The facility failed to ensure quarterly Licensed Health Professional Support (LHPS) evaluations for one resident, and failed to administer medications as ordered for multiple residents, including missed doses of vitamin supplements, pain patches, and antifungal powder. Several medication administration errors and documentation issues were identified.

The report documents a biennial construction section survey conducted to assess compliance with physical plant requirements and building codes applicable to the facility.

Multiple deficiencies were cited related to physical plant and safety code compliance, including lack of required special locking system diagrams, absence of fire sprinkler protection for kitchen refrigeration coolers, damaged exterior premises, electrical outlets without ground fault interrupters, unsafe building equipment conditions, and non-operational exhaust ventilation fans.

The Adult Care Licensure Section conducted an annual and follow-up survey from 04/21/22 to 04/22/22 to assess compliance with regulations and verify correction of previous deficiencies.

The facility was found deficient in multiple areas including failure to complete tuberculosis testing for one resident, failure to ensure follow-up with healthcare providers for psychiatric and vascular referrals, failure to implement and document orders for compression stockings, failure to complete a Licensed Health Professional Support evaluation within 30 days for a new task, failure to administer medications as ordered for a laxative, inaccurate medication administration records, and failure to maintain accurate controlled substances records.

Biennial Follow Up Construction Survey conducted to verify correction of previously identified deficiencies.

Some deficiencies related to building equipment maintenance and fire safety were not corrected, specifically corridor doors failing to close and latch properly, including the door to the clean linen room.

Routine biennial construction section survey to assess compliance with physical plant, fire safety, housekeeping, and other regulatory requirements for an adult care home.

The facility was found to have multiple deficiencies including missing delayed egress exit door signs, unresolved fire marshal and sprinkler inspection deficiencies, housekeeping issues such as ceiling damage and unsafe oxygen storage, fire safety rehearsal deficiencies, malfunctioning fire and smoke doors, missing sprinkler heads, compromised fire rated walls, malfunctioning emergency lighting and exit signs, use of prohibited portable electric heaters, inadequate hot water temperature, and non-functioning exhaust ventilation systems.

The Adult Care Licensure Section conducted an annual survey of Brookdale Salisbury on January 16, 22, and 23, 2018 to assess compliance with health care regulations and medication administration standards.

The facility failed to assure proper physician notification and follow-up regarding INR lab tests and results for Resident #3 on Coumadin therapy, including missed lab collections and unclear medication orders. Additionally, the facility failed to administer the correct dosage of furosemide to Resident #6 due to medication storage and administration errors.

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

Some deficiencies were not corrected, specifically the outside premises were not maintained in a safe manner, allowing vermin to enter the attic due to removal of soffit and an open attic at the freezer.

The visit was a Follow-Up Construction Survey to verify correction of deficiencies cited during the Biennial Construction Survey.

The facility had multiple unresolved deficiencies including unsafe outside premises allowing vermin entry, compromised fire-resistance rating of building components, plumbing equipment not maintained safely, and non-functioning exit signs and emergency lights in several locations.

This report is of a Biennial Construction Survey conducted to assess compliance with the 1996 and applicable 2005 Rules for Licensing of Adult Care Homes and the 1996 North Carolina State Building Code for institutional occupancy.

Multiple deficiencies were noted including non-operable delayed egress doors, unsafe outside premises with loose shingles and open attic areas, unclean HVAC returns, unmaintained fire-resistance ratings of building components, doors that do not close or latch properly, plumbing issues, non-functioning exit signage and emergency lighting, unsafe electrical outlets, and non-working exhaust ventilation.