Inspection Reports for Brookdale Union Park

The facility was surveyed for conformance with the 1991 Rules for Licensing of Adult Care Homes of Seven or More Beds, applicable portions of the 2005 Rules for Licensing of Adult Care Homes, and the 1991 Edition of the North Carolina Building Code, Institutional Occupancy, as part of a Construction Section Biennial Survey.

Deficiencies were cited related to failure to maintain the facility's fire safety equipment in a safe operating condition, specifically doors in smoke compartments that do not completely close and latch, potentially exposing occupants to smoke or fire.

Report of Construction Section Follow Up Biennial Survey conducted on February 20, 2024.

Corrections have been made. No further action is needed.

The Adult Care Licensure Section conducted an annual and follow-up survey on October 27, 2021 with an exit date of October 28, 2021.

The facility failed to ensure Licensed Health Professional Support (LHPS) assessments were completed quarterly for residents with LHPS tasks, failed to serve therapeutic diets as ordered for one resident, and failed to maintain resident rights related to communal dining after a COVID outbreak.

The facility was surveyed for conformance with the 1991 Rules for Licensing of Adult Care Homes of Seven or More Beds, applicable portions of the 2005 Rules for Licensing of Adult Care Homes, and the 1991 Edition of the North Carolina Building Code, Institutional Occupancy, as part of a Construction Section Biennial Survey.

Multiple deficiencies were identified including a peeling delayed egress exit door sign, failure to conduct quarterly fire safety rehearsals on each shift, corridor doors not latching properly, compromised fire rated ceilings and sprinkler escutcheons, non-functioning emergency lights and exit signs, improperly maintained plumbing drain lines, lack of monthly inspections documentation for the range hood fire suppression system, and failure to maintain required exhaust ventilation in certain areas.

The facility was surveyed for conformance with the 1991 Rules for Licensing of Adult Care Homes of Seven or More Beds, applicable portions of the 2005 Rules for Licensing of Adult Care Homes, and the 1991 Edition of the North Carolina Building Code, Institutional Occupancy, as part of a Construction Section Biennial Survey.

Multiple deficiencies were cited including lack of current fire safety inspection reports, poor housekeeping with mold and wall damage, hazards from improperly stored oxygen bottles, failure to conduct fire safety rehearsals on each shift quarterly, failure to maintain fire safety equipment and building systems in safe operating condition, presence of an unvented portable electric heater, and hot water temperatures exceeding the allowed maximum at several fixtures.

The Adult Care Licensure Section conducted an annual survey of Brookdale Union Park on June 22-23, 2017, with a telephone exit on June 26, 2017.

The facility failed to implement physician orders for daily blood pressure checks and weekly weight faxing for two residents, failed to serve nutritional supplements as ordered for one resident, and failed to administer Novolog insulin correctly for one resident. Additionally, one medication aide lacked required training and clinical skills validation documentation.

Follow-Up Construction Survey to verify correction of deficiencies cited during the previous Biennial Construction Survey.

The facility was found not maintained in a safe manner due to breaches in the one-hour roof/ceiling assembly, dropped sprinkler head escutcheons, improper storage of portable medical oxygen cylinders, excessive storage increasing fire load in resident rooms, and inadequate exhaust ventilation in certain areas.

The Adult Care Licensure Section conducted a follow-up survey to verify correction of previously cited deficiencies.

The facility remained out of compliance for staff qualifications due to failure to ensure a Health Care Personnel Registry (HCPR) check was completed for one staff member prior to hire. Additionally, the facility failed to follow-up by faxing blood pressure logs every two weeks to the physician for one resident as ordered, with no documentation that the logs were sent despite daily blood pressure monitoring.

This document is a Biennial Construction Survey conducted to assess compliance with the 1996 Rules for the Licensing of Adult Care Homes and applicable building codes for a facility licensed for 87 beds.

Multiple deficiencies were cited related to physical plant maintenance including exterior construction issues, fire safety equipment breaches, improper storage of oxygen cylinders, excessive storage increasing fire load, HVAC maintenance issues, electrical safety concerns, and inadequate mechanical exhaust ventilation in certain areas.

The Adult Care Licensure Section conducted an annual survey of Brookdale Union Park from 7/21/15 to 7/23/15 to assess compliance with state regulations for assisted living facilities.

The facility was found deficient in multiple areas including failure to perform required Health Care Personnel Registry checks on staff prior to hire, inadequate supervision of a resident exhibiting aggressive and inappropriate sexual behaviors causing fear among other residents, failure to ensure timely podiatry care for a resident, failure to follow up on elevated blood pressure readings as ordered, and failure to protect residents from mental abuse by another resident. The facility implemented a plan of correction including increased supervision, psychiatric evaluation, and relocation of the problematic resident.