Inspection Reports for Cadence at Clemmons by Cogir

Report of a Complaint Follow Up survey conducted to verify correction of previous deficiencies.

Corrections have been made. No further action is needed currently.

Complaint Follow Up survey; no further action needed indicating corrections were satisfactory.

Follow up construction survey conducted by documentation review to verify correction of previously cited deficiencies.

All previously cited deficiencies have been corrected based on documentation received, and no further action is required at this time.

The inspection was conducted as a complaint investigation regarding allegations that the sprinkler system malfunctioned, discharging water and damaging interior finishes.

The complaint was substantiated with findings that the facility's fire suppression system suffered multiple component failures causing water discharge and damage to interior finishes. Additionally, the fire alarm control panel indicated trouble with one smoke and one heat detecting device.

The complaint alleging sprinkler system malfunction and water discharge damaging interior finishes was substantiated.

The Adult Care Licensure Section completed an annual survey on August 16 and 17, 2022 to assess compliance with regulations for the facility.

The facility failed to ensure proper training for medication aides on diabetic care, failed to administer medications as prescribed for two residents including sliding scale insulin and an antispasmodic, and failed to ensure special care unit staff completed required training. Additionally, two medication aides lacked documentation of required medication training and one failed the medication aide examination without notifying the facility.

The Adult Care Licensure Section conducted an annual survey and complaint investigation from 05/21/19 to 05/23/19, initiated by the Forsyth County Department of Social Services on 05/16/19.

The facility failed to provide personal care assistance based on the assessed care plan for Resident #1, who required extensive hands-on assistance with transfers and toileting, resulting in a fall and hospitalization. Staff did not consistently provide the required hands-on assistance, and the resident's refusal of two-staff assistance was not properly documented or communicated to the primary care physician.

The complaint investigation was initiated by the Forsyth County Department of Social Services on 05/16/19 regarding Resident #1's fall due to inadequate personal care assistance.

The Adult Care Licensure Section conducted an Annual Survey and a Complaint Investigation on July 2-3, 2018 and July 6, 2018. The Complaint Investigation was initiated by the Forsyth County Department of Social Services on 07/13/18.

The facility failed to provide adequate supervision for two disoriented and ambulatory residents resulting in repeated falls with injuries including a cervical vertebrae fracture and an elopement from the Special Care Unit. The facility also failed to ensure physician notification for a resident with swollen and red legs, ankles and feet, failed to implement physician orders for cervical collars for two residents, failed to maintain an accurate therapeutic diet list and serve diets as ordered, failed to administer medications as ordered, and failed to use physical restraints only after assessment and with physician orders.

The Complaint Investigation was initiated by the Forsyth County Department of Social Services on 07/13/18.

Biennial Follow Up Construction Survey conducted to assess compliance with fire safety and ventilation requirements.

Deficiencies were found related to fire safety rehearsals not being performed regularly each shift quarterly and incomplete documentation of rehearsals. Additionally, the facility failed to maintain the exhaust ventilation system in proper working order, specifically the motor for the B Hall Spa ventilation was not working and a replacement motor was ordered.

The report documents a Construction Section Biennial Survey conducted on May 16, 2018, to assess compliance with physical plant, fire safety, and building code requirements for Carillon Assisted Living of Clemmons.

Multiple deficiencies were cited related to physical plant and fire safety, including lack of current fire and safety inspection reports, obstructions in corridors, chronic unpleasant odors, unsecured oxygen cylinders, inadequate fire drill rehearsals, malfunctioning emergency lighting, fire doors not latching properly, obstructed fire sprinkler heads, and non-functioning exhaust ventilation systems.

The Adult Care Licensure Section conducted an annual survey of Carillon Assisted Living of Clemmons on March 22-23, 2017 to assess compliance with medication administration regulations.

The facility failed to assure medications and treatments were administered as prescribed to 2 of 6 residents (#6 and #7), specifically regarding missed administration of Preservision Lutein vitamin and omeprazole during the morning medication pass on 03/23/17. The medication error rate was 5% based on 2 errors out of 24 opportunities.

Biennial Construction Survey to assess compliance with the 2005 Minimum and Desired Standards and Regulations for Homes for the Aged and Infirmed and the 2012 North Carolina State Building Code.

Deficiencies were noted related to fire safety and building equipment maintenance, including issues with the building sprinkler system and fire safety doors, which were corrected before the surveyor departed the site.