Inspection Reports for Cadence Senior Living at Mint Hill by Cogir
5601 Margaret Wallace Rd, Mint Hill, NC 28227, United States, NC, 28227
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Inspection Report
Follow-Up
Deficiencies: 0
Jun 11, 2025
Visit Reason
Follow Up Construction Survey to verify correction of previously cited deficiencies based on the provider's Plan of Correction.
Findings
All previously cited deficiencies from the Biennial Construction Survey were noted as corrected; no further action is required.
Inspection Report
Follow-Up
Deficiencies: 1
May 13, 2025
Visit Reason
The visit was a Construction Section Biennial Follow Up Survey to verify correction of previously identified deficiencies.
Findings
Deficiencies remain uncorrected related to the facility's failure to maintain current sanitation and fire and building safety inspection reports available for review, specifically the fire sprinkler system inspection report was not available.
Deficiencies (1)
| Description |
|---|
| Facility failed to maintain current sanitation and fire and building safety inspection reports available for review, including the fire sprinkler system inspection report. |
Inspection Report
Capacity: 84
Deficiencies: 3
Dec 18, 2024
Visit Reason
The facility was surveyed for conformance to applicable portions of the 2012 Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure during a Construction Section Biennial Survey.
Findings
Deficiencies were cited related to the lack of current sanitation and fire safety inspection reports and unsafe or inoperable building equipment, including a non-functioning mag lock override box and a walk-in freezer door releasing device that was not operable.
Deficiencies (3)
| Description |
|---|
| Facility failed to maintain current sanitation and fire and building safety inspection reports available for review; specifically, the current fire sprinkler system inspection report was not available. |
| Building's emergency equipment was not maintained in a safe and operable manner; the mag lock override box does not emit a sound when opened. |
| Building was not maintained in a safe and operating condition by failing to ensure egress from all areas without use of keys, tools, special knowledge, or effort; the walk-in freezer inside door releasing device was not operable. |
Report Facts
Licensed beds: 84
Inspection Report
Annual Inspection
Census: 36
Capacity: 84
Deficiencies: 2
Feb 29, 2024
Visit Reason
The Adult Care Licensure Section and Mecklenburg County DSS conducted an Annual survey and a Complaint Investigation on February 27 - 29, 2024.
Findings
The facility failed to maintain their bed capacity and services for rooms previously licensed for Special Care Unit (SCU) beds, converting some SCU beds into Assisted Living (AL) beds without proper licensure notification. Additionally, the facility failed to ensure that 4 of 5 sampled residents had care plans signed by the assessor upon completion.
Complaint Details
Complaint Investigation was conducted alongside the Annual survey from February 27 to 29, 2024.
Deficiencies (2)
| Description |
|---|
| Facility failed to maintain bed capacity and services for rooms previously licensed for SCU beds, converting 24 SCU beds on Hallway B into 12 private AL beds without notifying licensure. |
| Facility failed to ensure 4 of 5 sampled residents had care plans signed by the assessor upon completion. |
Report Facts
Licensed bed capacity: 84
Current census: 36
SCU beds converted: 24
Residents on Hallway B: 8
Residents sampled for care plan review: 5
Residents with unsigned care plans: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Service Director | Resident Service Director (RSD) | Responsible for completing care plans but did not sign them, believing computer completion was sufficient. |
| Administrator | Administrator | Interviewed regarding bed capacity changes and care plan signing responsibilities; unaware care plans were unsigned. |
| Regional Chief of Operations | Regional Chief of Operations (COO) | Decided to convert SCU beds to AL beds and handled licensure information; unavailable for interview. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Jan 6, 2021
Visit Reason
The Adult Care Licensure Section conducted a state-involved complaint investigation and a COVID-19 Infection Control Survey with onsite visits and desk reviews between 01/06/21 and 01/12/21.
Findings
The facility failed to ensure physician notification for two of five sampled residents regarding missed medication doses and failure to follow up on a physician's order to increase medication dosage. Specifically, Resident #1 missed doses of Preservision Areds medication without physician notification, and Resident #3's medication order to increase Allopurinol dosage was not timely followed up by the facility staff.
Complaint Details
The complaint investigation revealed that the facility did not notify the physician after Resident #1 missed multiple doses of Preservision Areds medication due to family not providing the medication and did not follow up on the physician's order change for Resident #3's Allopurinol dosage. The facility staff lacked communication and documentation regarding medication availability and physician notification.
Deficiencies (2)
| Description |
|---|
| Failed to ensure physician notification for Resident #1 regarding missed doses of Preservision Areds medication used to treat macular degeneration. |
| Failed to follow up with a physician's order to increase the scheduling of Allopurinol medication for Resident #3 from once daily to twice daily. |
Report Facts
Missed doses of Preservision Areds: 28
Allopurinol dosage: 100
Medication quantity: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator | RCC/MA | Assisted Resident Services Director and served as Medication Aide; documented missed medication doses and contacted family regarding medication availability. |
| Resident Services Director | RSD | Responsible for following up with physicians on medication orders and clarifications; unaware of missed medication doses for Resident #1. |
| Memory Care Director | MCD | Received physician's email regarding medication order change for Resident #3 but missed the order change and did not follow up. |
| Primary Care Physician | PCP | Changed Resident #3's Allopurinol order from once daily to twice daily upon POA request. |
| Executive Director | Executive Director | Expected communication and documentation regarding medication availability and physician notification; unaware of email correspondence for order change. |
Inspection Report
Capacity: 84
Deficiencies: 4
Oct 10, 2019
Visit Reason
The facility was surveyed for conformance to applicable portions of the 2012 Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure as part of a Construction Section Biennial Survey.
Findings
The survey identified multiple deficiencies related to physical plant and fire safety code compliance, including issues with master override switches for magnetic locks, exit door locks not operable by single hand motion, failure to maintain fire safety equipment in safe operating condition, and door hardware problems affecting proper latching and closing.
Deficiencies (4)
| Description |
|---|
| Master override switches in the Special Care Units could not be tested due to missing key; magnetic locks in B Wing did not reengage after fire alarm reset. |
| Exit doors were not easily operable by a single hand motion due to dead bolt latches on courtyard doors in B, C, and D Halls. |
| Failure to maintain fire safety equipment in safe operating condition; doors in smoke compartments did not close and latch properly, potentially exposing occupants to smoke or fire. |
| Specific door issues included a door in A Hall Commercial Laundry not closing and latching automatically, doors dragging on carpet, missing latch plates, and unsecured exit sign outside B10. |
Report Facts
Licensed capacity: 84
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Suzanna Fay | Surveyor conducting the Construction Section Biennial Survey | |
| Frank Strickland | Surveyor conducting the Construction Section Biennial Survey | |
| Vice President Development | Vice President Development | Signed plan of correction and responses to deficiencies |
Inspection Report
Annual Inspection
Deficiencies: 6
Jan 8, 2019
Visit Reason
The Adult Care Licensure Section and the Mecklenburg Department of Social Services conducted an annual survey on January 7-8, 2019.
Findings
The facility failed to provide supervision according to the resident's assessed needs, care plan, and current symptoms for 3 sampled residents with a history of falls, resulting in serious physical harm. The facility also failed to assure referral and follow-up for routine and acute health care needs for 2 residents, failed to implement physician orders for a sling for one resident, failed to complete quarterly Licensed Health Professional Support review for one resident, and failed to ensure a resident had a physician's order for self-administration of medications.
Severity Breakdown
Type A1 Violation: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to provide supervision according to the resident's assessed needs, care plan, and current symptoms for 3 residents with a history of falls. | Type A1 Violation |
| Failed to assure referral and follow-up for routine and acute health care needs for 2 residents, including failure to notify physician of medication refusals and failure to refer for physical and occupational therapy. | — |
| Failed to implement physician's order for a sling to be worn at all times for Resident #4. | — |
| Failed to assure quarterly Licensed Health Professional Support review and evaluation for Resident #4 who required application and removal of a right arm sling. | — |
| Failed to assure Resident #2 had a physician's order for self-administration of Fluticasone and Albuterol medications kept at bedside. | — |
| Failed to ensure residents were free of neglect related to personal care and supervision for 3 residents with history of falls. | — |
Report Facts
Falls: 5
Fractured arm: 1
Rib fractures: 1
Medication refusals: 20
Medication refusals: 15
Medication refusals: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Director | Resident Care Director (RCD) | Named in multiple interviews related to failure to implement orders, notify physicians, and supervise residents. |
| Memory Care Resident Care Coordinator | MCRCC | Named in interviews related to supervision and care of residents. |
| Administrator | Administrator | Named in interviews related to facility policies and oversight. |
| Medication Aide | Medication Aide (MA) | Named in interviews related to medication administration and resident supervision. |
| Personal Care Aide | Personal Care Aide (PCA) | Named in interviews related to resident supervision and care. |
| Health Wellness Director | HWD | Named in interviews related to medication administration and order implementation. |
| Licensed Health Professional Support Nurse | LHPS Nurse | Named in interviews related to failure to complete required assessments. |
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