Inspection Reports for Cadence Huntersville by Cogir

The Adult Care Licensure Section conducted a complaint investigation survey from November 13, 2024 through November 15, 2024 related to concerns about resident care and facility compliance.

The facility failed to ensure appropriate care for Resident #4 who had a swollen hand and arm that was not promptly evaluated by a physician, resulting in hospitalization for cellulitis. Additionally, medications were not administered as ordered for Resident #4 after hospital discharge, and resident care plans for falls were inaccurately documented for multiple residents. The facility also failed to notify the county department of social services of accidents/incidents requiring emergency medical evaluation for all sampled residents.

The complaint investigation was triggered by concerns about Resident #4's swollen hand and arm that was not promptly evaluated by a physician, leading to hospitalization. Additional concerns included medication administration errors, inaccurate care plan documentation, and failure to report incidents to social services.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted a follow up and complaint investigation from 07/20/22 to 07/22/22. The complaint investigation was initiated by the Mecklenburg County Department of Social Services on 06/23/22.

The facility failed to ensure competency validation for Licensed Health Professional Support tasks for 4 of 6 sampled staff, failed to ensure referral and follow-up to meet routine and acute health care needs for 3 of 5 sampled residents, failed to ensure timely response to call bells for 4 of 6 residents, failed to complete pre-admission screenings and disclosure statements for 2 sampled residents in the Special Care Unit, failed to complete Special Care Unit resident profiles and care plans within 30 days and quarterly for 2 sampled residents, failed to ensure 4 of 4 sampled staff completed dementia specific training within their first week in the Special Care Unit, and failed to ensure 1 of 6 sampled medication aides completed required training and competency evaluation prior to administering medications.

Complaint investigation initiated by Mecklenburg County Department of Social Services on 06/23/22, followed up from 07/20/22 to 07/22/22.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey and complaint investigation from May 17, 2022 to May 20, 2022.

The facility failed to ensure competency validation for Licensed Health Professional Support tasks for agency staff, failed to adequately supervise residents resulting in altercations, failed to implement physician orders for follow-up and lab work, failed to ensure residents received hearing aids, dentures and glasses, failed to clarify medication orders, failed to administer medications as ordered including oxygen and nebulizer treatments, failed to maintain resident records in an orderly manner, failed to complete pre-admission screenings and disclosures for special care unit residents, failed to complete special care unit resident profiles and care plans timely, and failed to ensure special care unit staff received required training.

The inspection included a complaint investigation triggered by concerns about resident supervision, medication administration, and staff training.

This is a biennial follow-up construction survey conducted to verify correction of previously cited deficiencies related to building safety and maintenance.

The facility was found to have multiple deficiencies including lack of current sanitation and fire safety inspection reports, exterior maintenance issues causing water damage, doors that do not latch properly, and non-operational exhaust fans in several locations.

The facility was surveyed for compliance with the 2005 Rules for Adult Care Homes of Seven Beds or More and the 2012 NC State Building Code for I-2 Occupancies during a Construction Section Biennial Survey.

Multiple deficiencies were cited including failure to maintain emergency release switch keys for magnetic locks, lack of current sanitation and fire safety inspection reports, exterior maintenance issues such as gutter debris causing water damage, mold accumulation in resident rooms, unsafe storage of oxygen cylinders, unclean kitchen conditions, unsafe and non-operational building equipment including electrical conduit and doors, missing plumbing fixtures, and non-functional exhaust ventilation fans with excessive particulate buildup.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey and complaint investigation on July 1, 2019-July 2, 2019.

The facility was found deficient in multiple areas including failure to ensure tuberculosis testing upon hire for staff, lack of CPR certified staff on all shifts, failure to assure referral and follow-up with physicians for residents with unsafe behaviors and pain medication prescriptions, failure to implement physician orders for urinalysis, and failure to carry out scheduled activities in the special care unit.

The inspection included a complaint investigation related to failure to ensure tuberculosis testing upon hire for staff and failure to assure referral and follow-up with physicians for residents with unsafe behaviors and medication follow-up.

The inspection was conducted in response to a complaint alleging mold growth in areas of the facility.

The complaint was substantiated; mold had been present in several rooms but had been cleaned away in several rooms and repairs were in progress.

The complaint alleging mold growth was substantiated.

Biennial Follow Up Construction Survey conducted to verify correction of previously identified deficiencies.

Some deficiencies were not corrected, including inadequate documentation of fire safety rehearsals and corridor doors held open with mechanical devices preventing proper closure and latching, posing fire safety risks.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey and complaint investigation on December 19-22, 2017. The complaint investigation was initiated by the Mecklenburg County Department of Social Services on December 14, 2017.

The facility was found deficient in multiple areas including failure to validate competency of licensed health professional support tasks for staff, failure to provide timely personal care and supervision to residents, failure to implement physician orders for assistive devices and compression stockings, failure to assure acute and routine health care needs were met including failure to fax vital signs to physicians, failure to properly administer medications including missed doses and improper documentation, and failure to maintain accurate controlled substance records. Additionally, food safety violations were noted with expired and improperly stored food items.

The complaint investigation was initiated by the Mecklenburg County Department of Social Services on December 14, 2017.

Biennial Follow Up Construction Survey conducted to verify correction of previously identified deficiencies.

Several deficiencies were found not corrected, including improper ice machine drain line height, inadequate documentation of fire drill rehearsals, and corridor doors that do not close and latch properly, posing fire safety risks.

The facility was surveyed for compliance with the 2005 Rules for Adult Care Homes of Seven Beds or More and the 2012 NC State Building Code for I2 Occupancies as part of a Construction Section Biennial Survey.

Multiple deficiencies were identified including lack of current fire safety inspection reports, missing hand grips in bathrooms, housekeeping hazards, inadequate fire safety rehearsals documentation, malfunctioning exit signs and corridor doors, compromised fire rated walls, and non-functioning exhaust ventilation throughout the facility.