Inspection Reports for Brookdale South Charlotte

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual and follow-up survey on 10/16/24-10/18/24 to assess compliance with health care, medication administration, and reporting regulations.

The facility failed to notify the primary care provider about elevated blood sugar readings for one resident, failed to accurately document administration of as-needed medication for elevated blood pressure for the same resident, and failed to notify the local county Department of Social Services of incidents involving two residents who required emergency medical treatment after falls.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey on 03/22/22-03/23/22 at Brookdale South Charlotte.

The facility failed to ensure physician's orders were implemented for 1 of 5 sampled residents (Resident #3), specifically regarding daily blood pressure and heart rate monitoring before administering Atenolol as ordered. Documentation was incomplete and the facility did not follow best practices for verifying and entering orders accurately on the electronic Medication Administration Record (eMAR).

Follow-up visit related to COVID-19 outbreak and infection control measures at the facility.

The report details a COVID-19 outbreak investigation where 4 of 37 staff tested positive and no residents tested positive among 61 tested. Control measures included isolation, cohorting, PPE use, and signage to prevent SARS-CoV-2 transmission.

This document is a report of a Biennial Follow Up Construction Survey conducted to assess the physical plant and safety conditions of the facility.

The survey found multiple deficiencies including an unsafe and hazardous fence, furnishings not kept in good repair, corridor doors being blocked open by unapproved devices, and failure to maintain fire alarm and fire safety equipment in safe operating condition.

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 1991 (1995 Revision) Edition of the North Carolina Building Code(s), Institutional Occupancy. This was a Construction Section Biennial Survey.

Multiple deficiencies were identified including use of throw rugs, unsafe outside premises with trip hazards and damaged fence, furnishings and ceilings not kept in good repair, fire safety and emergency equipment issues such as fire alarm trouble, gaps around sprinkler heads, unsecured access panels, non-illuminating exit signs, doors not closing or latching properly, storage obstructing sprinkler clearance, holes in fire-rated walls, blocked or wedged open fire doors, and non-functioning exhaust ventilation in required areas.

The survey was a Construction Section Biennial Survey conducted to assess conformance with licensing rules for Adult Care Homes and applicable building codes.

The facility was found to have multiple deficiencies including maintenance issues with outside premises, housekeeping and furnishings, fire safety rehearsals, building equipment safety, fire safety equipment operation, plumbing, and exhaust ventilation. Specific issues included doors dragging on frames, unsecured oxygen tanks, tripping hazards, failure to conduct proper fire evacuation drills, holes and gaps in fire-resistant ceilings and walls, malfunctioning fire safety equipment, propped open doors, plumbing air gap violations, and non-functioning exhaust fans.

Biennial Construction Survey conducted to assess compliance with physical plant requirements, building codes, and safety standards.

Multiple physical plant deficiencies were identified including failure to meet building code requirements for fire protection, emergency release mechanisms, door signage, and door hardware. Additional issues included lack of current sanitation and fire safety reports, inadequate bathroom privacy and hand grips, corridor obstructions, housekeeping deficiencies, fire extinguisher maintenance problems, building equipment not maintained in safe operating condition, ventilation failures, and impaired fire sprinkler escutcheon plates.