Inspection Reports for Bryson Senior Living
314 Hughes Branch Road Bryson City, NC 28713, Bryson City, NC, 28713
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Follow-Up
Deficiencies: 3
Date: Sep 16, 2025
Visit Reason
The Adult Care Licensure Section and the Swain County Department of Social Services conducted a follow-up survey on 09/16/25 through 09/17/25 to verify correction of previous deficiencies related to medication administration and resident safety.
Findings
The facility failed to administer medications as ordered for 2 of 5 sampled residents, failed to observe 2 residents taking their medications, and failed to ensure proper documentation of medication administration. Additionally, a resident with dementia was found wandering and exiting a room near unattended medications, posing a safety risk. These failures were deemed detrimental to resident health and safety.
Deficiencies (3)
Failed to administer medications as ordered for 2 of 5 sampled residents related to pain control and GERD medications.
Failed to observe 2 of 5 sampled residents taking medications and failed to ensure proper documentation of medication administration for 1 resident.
Resident with dementia found wandering near unattended medications left in two rooms for approximately 1 hour.
Report Facts
Sampled residents with medication errors: 2
Medications left unattended: 12
Correction date deadline: Nov 1, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Medication Aide (MA) | Medication aide left medications unattended and failed to administer medications properly for Residents #3 and #4. | |
| Personal Care Aide/Medication Aide (PCA/MA) | PCA/MA administered medications for Resident #4 but did not document administration; left medications at bedside without observation. | |
| Administrator | Interviewed regarding medication administration failures and resident safety concerns. |
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 9
Date: Jul 3, 2025
Visit Reason
The Adult Care Licensure Section conducted a complaint investigation from 06/30/25 through 07/03/25 initiated by the Swain County Department of Social Services on 06/18/25.
Complaint Details
Complaint investigation initiated by Swain County Department of Social Services on 06/18/25 regarding medication aide qualifications and other regulatory compliance issues.
Findings
The facility failed to ensure medication aides completed required training and competency validation before administering medications, failed to have staff tested for tuberculosis upon employment, lacked CPR trained staff on premises at all times, failed to have a manager on duty during a night shift leading to a resident calling 911 due to no staff being found, failed to label pain medication syringes properly, failed to administer medications as ordered, failed to document medication administration accurately, failed to have physician orders and assessments for self-administration of medications, and failed to maintain accurate controlled substance records.
Deficiencies (9)
Failed to ensure 1 of 3 sampled medication aides completed required medication aide training and competency validation prior to administering medications and passing the State MA written examination within 60 days of employment.
Failed to ensure 1 of 5 sampled staff was tested for tuberculosis disease upon employment in compliance with control measures.
Failed to ensure there was at least one staff person on the premises at all times who completed CPR training within the last 24 months for 2 of 5 sampled staff.
Failed to have a manager on duty to carry out day to day operations and all required duties in the absence of the Administrator related to a night shift personal care aide left alone when the medication aide left campus for an unspecified amount of time.
Failed to ensure a pain medication for 1 of 1 sampled resident drawn up into syringes by staff were labeled with all required information.
Failed to ensure medications were administered as ordered for 1 of 5 sampled residents related to an oral medication used to treat itching.
Failed to ensure procedures were implemented to identify the staff person who prepared doses of a schedule II pain medication for administration and the staff who administered the medication for 1 of 1 sampled residents.
Failed to ensure a resident had a physician's order and assessment to self-administer medications for 1 of 5 sampled residents related to an inhaled medication used to treat allergies.
Failed to ensure a record of controlled substances that reconciled the receipt, administration, and disposition of controlled medications for 2 of 3 sampled residents related to Schedule II controlled pain relievers and a Schedule IV controlled anti-anxiety medication.
Report Facts
Deficiencies cited: 9
Residents present: 34
Medication administrations: 52
Medication doses: 50
Medication doses: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Medication Aide/Supervisor | Named in findings related to medication aide training deficiencies, use of Facility Manager's credentials for medication documentation, and medication administration prior to required training. |
| Facility Manager | Named in findings related to providing login credentials to Staff B, responsibility for staff qualifications, and medication administration documentation. | |
| Business Office Manager | Named in interviews regarding medication aide training requirements and tuberculosis testing. | |
| Licensed Health Professional Support Registered Nurse | LHPS RN | Named in interviews regarding medication aide training and tuberculosis testing. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jun 26, 2024
Visit Reason
The Adult Care Licensure Section and the Swain County Department of Social Services conducted a complaint investigation from 06/25/24 to 06/26/24 related to an increase in monthly room rate and supervision concerns for Resident #2.
Complaint Details
Complaint investigation conducted due to concerns about lack of notification and signature for room rate increase and failure to follow supervision orders for Resident #2. The Power of Attorney and family members expressed concerns about not being notified of the rate increase and the fall mat not being properly placed.
Findings
The facility failed to provide an amended contract for review or signature for Resident #2 after a room rate increase. Additionally, the facility failed to provide proper supervision for Resident #2 by not consistently placing a fall mat at bedside or in front of her recliner as ordered.
Deficiencies (2)
Failed to provide an amended contract for review or signature for 1 of 2 sampled residents (Resident #2) after a room rate increase.
Failed to provide supervision for Resident #2 who had an order for a fall mat to be placed at bedside or in front of recliner at all times; the fall mat was often folded under the bed.
Report Facts
Room rate: 4042.5
Dates of complaint investigation: 06/25/24 - 06/26/24
Inspection Report
Follow-Up
Deficiencies: 1
Date: Oct 3, 2018
Visit Reason
The Adult Care Licensure Section conducted a follow-up survey on 10/03/18 to verify correction of previous medication administration deficiencies.
Findings
The facility failed to ensure medications were administered as ordered for one sampled resident (Resident #1), including furosemide, levothyroxine, and potassium chloride. Medication orders were inconsistent and not properly followed, resulting in medication administration errors and borrowing medication from another resident.
Deficiencies (1)
Failure to ensure medications were administered as ordered for Resident #1, including inconsistent administration of furosemide, levothyroxine, and potassium chloride.
Report Facts
Medication administration opportunities for furosemide: 9
Medication administration opportunities for furosemide: 3
Tablets dispensed: 32
Tablets remaining: 29
Medication administration opportunities for levothyroxine 200mcg: 2
Medication administration opportunities for levothyroxine 300mcg: 9
Tablets dispensed: 28
Tablets remaining: 21
Medication administration opportunities for potassium chloride: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator | Discovered the medication error with Resident #1's furosemide on 10/03/18 | |
| Executive Director | Interviewed regarding medication errors and follow-up on potassium chloride availability | |
| Nurse Practitioner | Provided clarification orders for Resident #1's medications and interviewed regarding medication administration | |
| Medication Aide | Administered potassium chloride by borrowing from another resident on 10/03/18 |
Inspection Report
Original Licensing
Deficiencies: 3
Date: Aug 22, 2018
Visit Reason
The Adult Care Licensure Section and the Swain County Department of Social Services conducted an initial survey on August 20-22, 2018 to assess compliance with adult care home regulations.
Findings
The facility failed to assure therapeutic diets were served as ordered for 2 of 5 residents sampled, and failed to assure medications were administered as ordered for 3 residents, resulting in medication errors and poor pain control for one resident. The facility also failed to ensure residents received adequate and appropriate care in compliance with relevant laws and regulations.
Deficiencies (3)
Failed to assure therapeutic diets were served as ordered for 2 of 5 residents, including no added salt diet and chopped meats diet.
Failed to assure medications were administered as ordered for 1 of 3 residents for record review and 2 of 6 residents observed during medication passes, including errors with morphine sulfate, Bactrim DS, doxycycline, miconazole/zinc cream, clopidogrel, and pravastatin.
Failed to assure residents received care and services which were adequate, appropriate, and in compliance with relevant laws related to medication administration.
Report Facts
Medication error rate: 7
Residents sampled for therapeutic diet compliance: 5
Residents sampled for medication administration record review: 3
Residents observed during medication passes: 6
Days pain medication delayed: 2
Days antibiotic delayed: 12
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