Inspection Reports for Cadence Garner by Cogir

The Adult Care Licensure Section conducted an annual and follow-up survey and complaint investigation on 01/31/24 - 02/01/24.

The facility failed to ensure that medications were stored in a safe and secure manner in residents' rooms for 2 of 2 sampled residents who self-administered medications. Medications were found unsecured and residents were not provided locked storage containers as required by policy.

The visit included a complaint investigation as part of the annual and follow-up survey conducted from 01/31/24 to 02/01/24.

The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the 2012 Edition of the North Carolina Building Code, Institutional Occupancy, as part of a Construction Section Biennial Survey.

Deficiencies were cited related to physical plant requirements including corridor doors not providing an effective smoke barrier, emergency exit doors not operable by a single hand motion, and emergency exit lights not maintained in a safe manner.

The Adult Care Licensure Section and Wake County Department of Social Services conducted a follow-up survey and complaint investigation on May 31, 2023 and June 1, 2023.

The facility failed to ensure that medications stored in Resident #3's room were kept in a safe and secure manner, as four medications were found in an unlocked side table and two medications in an unlocked bathroom medicine cabinet. Interviews revealed the resident was not provided a key to lock her medications and was unaware that medications needed to be locked.

The visit was a follow-up survey and complaint investigation conducted on May 31 and June 1, 2023.

The Adult Care Licensure Section conducted an annual survey on March 8-9, 2023 to assess compliance with medication administration, self-administration, and medication storage regulations.

The facility failed to administer medications as ordered for multiple residents, including incorrect dosages and failure to administer scheduled medications. Additionally, a resident self-administered medications from a third-party provider without facility knowledge, and medications were not stored securely in a resident's room.

Complaint investigation and COVID-19 focused Infection Control survey conducted with onsite visits and desk reviews between 12/30/20 and 01/20/21.

The facility failed to ensure hazards were secured including unsecured laundry room with chemicals, topical pain medication and toiletry items left accessible to residents including those with dementia and wandering behaviors. Staffing shortages were noted on the Memory Care Unit (MCU) and Assisted Living (AL) areas, resulting in inadequate supervision and care. Residents were exposed to unsafe conditions including being placed in rooms with non-related opposite sex roommates. Infection control practices were not consistently followed, including staff working while symptomatic and incomplete COVID-19 screening. Resident rights violations and lack of dignity and privacy were observed.

Complaint investigation triggered by allegations of hazards, inadequate supervision, infection control deficiencies, and resident rights violations.

The Adult Care Licensure Section conducted an initial survey of Carillon Assisted Living of Garner from 10/10/18 to 10/12/18 to assess compliance with medication administration and controlled substances regulations.

The facility failed to administer medications as ordered for 3 of 4 residents sampled, including errors with blood pressure medication, dementia patch, antihistamine, and multivitamin. Medications were also administered late for one resident. Additionally, the facility failed to maintain accurate and readily retrievable records of controlled substances, with missing Lorazepam tablets and discrepancies between medication administration records and controlled substance logs.