Inspection Reports for Caremoor Retirement Center
4876 Caremoor Place Kannapolis, NC 28081, Kannapolis, NC, 28081
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
11.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
127% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Oct 23, 2024
Visit Reason
The Adult Care Licensure Section and the Cabarrus County Department of Social Services conducted an annual survey from 10/22/24 to 10/23/24.
Findings
The facility failed to ensure care plans were signed by the assessor for 2 of 3 sampled residents, failed to ensure referral and follow-up for acute health care needs related to low blood pressure and pulse for one resident, failed to discard leftover food items after 72 hours, failed to administer medications as ordered for one resident, and failed to securely store wound care supplies for one resident.
Deficiencies (5)
Facility failed to ensure 2 of 3 sampled residents had accurate care plans signed by the assessor upon completion.
Facility failed to ensure referral and follow-up to meet acute health care needs of 1 of 3 sampled residents related to not notifying the prescriber of low blood pressure and low heart rate readings.
Facility failed to ensure leftover food items being stored and used for resident consumption were discarded after 72 hours of the date labeled.
Facility failed to administer medications as ordered for 1 of 3 sampled residents related to a medication used to treat chest pain.
Facility failed to ensure 1 of 5 sampled resident's medications were stored securely as evidenced by wound care supplies found on her bedside table.
Report Facts
Sampled residents: 3
Sampled residents: 5
Medication doses held: 7
Medication doses held: 3
Leftover food storage duration: 72
Inspection Report
Follow-Up
Deficiencies: 0
Date: Mar 5, 2024
Visit Reason
Report of Construction Section Follow Up Biennial Survey conducted on March 5, 2024.
Findings
Corrections have been made. No further action is needed.
Inspection Report
Capacity: 30
Deficiencies: 13
Date: Dec 20, 2023
Visit Reason
The inspection was a Construction Section Biennial Survey conducted to ensure the facility meets applicable regulations including the 1991 Regulations for Homes for the Aged and Disabled, 2005 Regulations for Adult Care Homes, and the 1991 North Carolina State Building Code.
Findings
Multiple deficiencies were cited including poor housekeeping and furnishings repair, failure to conduct quarterly fire safety rehearsals on each shift, failure to maintain fire safety equipment and building equipment in safe operating condition, failure to maintain exhaust ventilation in specified spaces, and plumbing equipment not maintained in a safe and operating manner.
Deficiencies (13)
Floors were not kept in good repair; a 12" tear in the carpet in the living room.
Furnishings were not kept in good repair; door hardware loose in Men's Guest Toilet.
Facility did not conduct quarterly fire rehearsals on each shift; missing fire rehearsal on second/night shift of third quarter 2023.
Failure to maintain fire safety equipment in safe operating condition; cross corridor doors did not close when released by fire alarm.
Resident room doors did not close and latch properly (Rooms 41, 39, and 7).
Gaps between door and door frame stops in resident room doors (Room 1).
Corroded escutcheon rings on sprinkler heads in kitchen.
Emergency light in Med Prep Room did not illuminate on test.
Unsealed cable penetrations near Nurses' Station and Maintenance Room 13.
Storage within 18" of sprinkler heads in Room 18 Clean Linen and Storage Room (corrected at time of survey).
Electrical room cluttered with fans, vacuum cleaners, and miscellaneous items blocking electrical panels.
Toilet in Community Bath 11 not securely mounted to floor.
Facility did not maintain exhaust ventilation in specified spaces; fans not working in staff bathrooms, guest bathrooms, laundry, community baths, and other utility spaces.
Report Facts
Total licensed capacity: 30
Tear size: 12
Gap size: 0.5
Clearance: 18
Clearance: 36
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Nov 19, 2018
Visit Reason
The Adult Care Licensure Section and the Cabarrus County Department of Social Services conducted an annual survey on 11/19/18-11/20/18 to assess compliance with regulations for Caremoor Retirement Center.
Findings
The facility failed to assure the provision of transportation for health services for one of three sampled residents (Resident #3), including multiple canceled or rescheduled dermatologist appointments and charging families a transportation fee, which is against regulations.
Deficiencies (1)
Failed to assure provision of transportation for health services for Resident #3, including canceled dermatologist appointments and charging family for transportation.
Report Facts
Transportation fee: 25
Canceled/rescheduled appointments: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator | Responsible for contacting Resident #3's family about physician appointments and scheduling. | |
| Director of Operations | Interviewed regarding transportation availability and facility van condition. | |
| Administrator | Administrator | Sent letter informing families of transportation fee and commented on charging $25 per hour for transportation. |
Inspection Report
Follow-Up
Deficiencies: 1
Date: Aug 17, 2018
Visit Reason
The visit was a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to building code compliance.
Findings
The building did not meet code requirements for I-2 Occupancy at the time of construction or alteration, specifically by not providing all required exits with exit signs, which could affect prompt evacuation.
Deficiencies (1)
The building did not provide all required exits with exit signs, affecting egress directions for prompt evacuation.
Inspection Report
Follow-Up
Deficiencies: 4
Date: Jun 19, 2018
Visit Reason
The visit was a Biennial Follow Up Construction Survey to verify correction of previously cited deficiencies related to building code and fire safety compliance.
Findings
The survey found that the building did not meet code requirements for exit signage and fire safety systems. Specifically, required exit signs were missing, fire alarm system hold-open devices on smoke barrier doors were not functioning properly, and firestopping was incomplete in the electrical/boiler room.
Deficiencies (4)
Building did not provide all required exits with exit signs, affecting egress directions for prompt evacuation.
Fire alarm system was not maintained in a safe and operating condition; hold open devices did not release automatic-closing doors to contain smoke and fire.
Building fire safety was not maintained in a safe and operating condition, exposing all to fire/smoke if not contained in room of origin.
Two open-ended sleeves with cable bundles were not firestopped as they penetrated the fire-resistance-rated ceiling assembly in the electrical/boiler room.
Inspection Report
Capacity: 30
Deficiencies: 14
Date: Jan 10, 2018
Visit Reason
The report documents a Construction Section Biennial Survey conducted to assess compliance with physical plant, fire safety, and building code requirements applicable to the facility.
Findings
Multiple deficiencies were cited including failure to meet code requirements for door egress direction, lack of exit signage, absence of current fire and sanitation inspection reports, corridor obstructions, poor housekeeping and maintenance issues, fire extinguisher maintenance lapses, fire alarm system malfunctions, unsafe electrical system conditions, sprinkler system issues, and non-functioning exhaust ventilation systems.
Deficiencies (14)
Doors with occupant load over 50 do not swing in direction of egress.
Required exits lack exit signs directing egress.
Facility failed to maintain current sanitation and fire safety inspection reports.
Corridors obstructed by equipment reducing required width.
Ventilation grilles in restrooms have excessive dust/lint accumulation.
Handheld showerheads lack vacuum breakers, risking backflow contamination.
Portable oxygen cylinders stored unsecured, posing hazard.
Fire extinguishers not properly maintained; no documentation of monthly inspections.
Fire alarm system not maintained; hold open devices failed to release doors.
Emergency lights failed to illuminate on backup power during test.
Fire safety compromised by unsealed penetrations and doors wedged open preventing proper closure.
Electrical system unsafe due to use of extension cords and multi-plug adapters without over current protection.
Fire sprinkler system not maintained; dropped escutcheon plate and low pressure gauge reading.
Exhaust ventilation systems in multiple restrooms and laundry not working.
Report Facts
Licensed capacity: 30
Fire extinguisher coverage: 2500
Fire sprinkler pressure: 7
Inspection Report
Follow-Up
Deficiencies: 4
Date: Mar 10, 2016
Visit Reason
The Adult Care Licensure Section conducted a follow-up survey on March 9-10, 2016 to verify correction of previous deficiencies.
Findings
The facility failed to maintain accurate and current listings of residents' physician-ordered therapeutic diets for 2 of 7 sampled residents. Additionally, the facility failed to clarify unclear or conflicting medication orders for 3 of 5 sampled residents and failed to assure medications were administered as ordered for 1 of 5 sampled residents. Medication Administration Records (MARs) were also found to be inaccurate and incomplete for 4 of 5 sampled residents.
Deficiencies (4)
Failed to maintain an accurate and current listing of residents with physician ordered therapeutic diets for 2 of 7 sampled residents (Residents #1 and #9).
Failed to clarify unclear or conflicting medication orders for 3 of 5 sampled residents (#2, #4, and #5).
Failed to assure medications were administered as ordered by a licensed prescribing practitioner to 1 of 5 sampled residents regarding Lactaid tablets.
Medication Administration Records (MARs) were inaccurate and incomplete for 4 of 5 sampled residents (#1, #2, #3, and #4) with physician's orders for various medications.
Report Facts
Sampled residents with diet listing issue: 2
Sampled residents with unclear medication orders: 3
Sampled residents with medication administration issues: 1
Sampled residents with inaccurate MARs: 4
Color coded note cards posted: 25
Resident #1 meal consumption: 10
Medication doses documented but not on MAR: 56
Medication doses documented but not on MAR: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding therapeutic diet list and diet order updates | |
| Director of Operations | Interviewed regarding diet order processes and medication administration | |
| Supervisor/Manager of employees | Interviewed regarding diet order updates and medication administration | |
| Supervisor/Medication Aide | Interviewed regarding medication administration and MAR accuracy | |
| Resident Care Coordinator | Interviewed regarding medication administration and MAR accuracy | |
| Pharmacist | Interviewed regarding medication orders and pharmacy records | |
| Registered Nurse | Interviewed at Resident #1's physician's office regarding medication administration |
Inspection Report
Capacity: 30
Deficiencies: 9
Date: Feb 17, 2016
Visit Reason
Biennial Construction Survey to ensure the facility meets applicable regulations including the 1991 Regulations for Homes for the Aged and Disabled, 2005 Regulations for Adult Care Homes of Seven or More Beds, and the 1991 North Carolina State Building Code.
Findings
The facility was found to have multiple deficiencies including lack of current fire alarm inspection report, unresolved sprinkler system deficiencies, corridor obstructions, unsafe storage of portable medical oxygen cylinders, hazardous door hardware, missing exterior electrical outlet covers, non-functioning exit light, compromised fire-rated walls and ceilings, and corridor and bedroom doors that do not close or latch properly to resist fire and smoke.
Deficiencies (9)
No current fire alarm inspection report available for review.
Sprinkler inspection report dated 7-13-2015 indicated deficiencies with no documentation of correction including damaged flow switch and unsecured ball control valves.
Trash obstructing corridor at the right rear of the facility.
Unsafe storage of portable medical oxygen cylinders: one large cylinder without stabilizing base, seven medium cylinders stored without containers, and twenty small cylinders stored in cardboard boxes.
Double cylinder deadbolt on bedroom J door that could trap occupants inside.
Missing cover on an exterior electrical receptacle allowing water entry and hazard.
Exit light in dining room not working.
Compromised one-hour fire rated walls and ceilings with holes, damaged attic access doors, and cardboard patch in water heater room.
Multiple corridor doors wedged or propped open, and several doors not closing or latching properly to resist fire and smoke, including doors to beauty parlor, clean linen room, laundry, bedrooms PA and KR, and dining room.
Report Facts
Licensed capacity: 30
Medium portable medical oxygen cylinders: 7
Small portable medical oxygen cylinders: 20
Inspection Report
Annual Inspection
Deficiencies: 8
Date: Oct 6, 2015
Visit Reason
The Adult Care Licensure Section and the Cabarrus County Department of Social Services conducted an Annual Survey on October 6 - 7, 2015.
Findings
The facility failed to ensure criminal background checks and Health Care Personnel Registry checks were completed prior to hire for some staff. Additionally, one staff member was not competency validated for Licensed Health Professional Support tasks prior to performing them. The facility also failed to maintain accurate therapeutic diet lists and failed to serve a resident's therapeutic diet as ordered. A medication (Prozac) was administered at a lower dose than ordered, and the medication administration record was inaccurate.
Deficiencies (8)
Failed to ensure 3 of 4 sampled staff had no substantiated findings on the Health Care Personnel Registry prior to hire.
Failed to assure a Criminal Background check was completed prior to hire on 3 of 4 sampled staff (Type B Violation).
Failed to assure 1 of 4 sampled staff was competency validated for Licensed Health Professional Support tasks prior to performing them.
Failed to maintain an accurate and current listing of residents with physician-ordered therapeutic diets for 2 of 6 sampled residents.
Failed to serve 1 of 6 sampled residents with a physician's order for Mechanical Soft with Ground Meats diet as ordered.
Failed to assure a medication (Prozac 20mg) was administered as ordered and in accordance with facility policies for 1 of 6 residents.
Failed to assure accuracy of the Medication Administration Record (MAR) according to facility policies for 1 of 6 residents.
Failed to ensure residents received care and services which were adequate, appropriate, and in compliance with relevant laws regarding criminal background checks for new hires.
Report Facts
sampled staff: 4
sampled residents: 6
Prozac dosage: 20
Prozac dosage: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Personal Care Aide | Named in findings related to Health Care Personnel Registry check, criminal background check, and competency validation |
| Staff B | Personal Care Aide / Cook | Named in findings related to criminal background check |
| Staff C | Personal Care Aide | Named in findings related to Health Care Personnel Registry check and criminal background check |
| Staff D | Medication Aide | Named in findings related to Health Care Personnel Registry check |
| Director of Operations | Interviewed regarding background check policies and procedures | |
| Administrator | Interviewed regarding facility policies and procedures | |
| Facility Nurse | Completed LHPS competency evaluation for Staff A | |
| Resident Care Coordinator | Interviewed regarding dietary notifications and diet list updates | |
| Dietary Manager | Interviewed regarding diet list and dietary procedures | |
| Dietary Aide | Interviewed regarding meal preparation and diet list usage | |
| Medication Aide | Interviewed regarding medication administration and MAR accuracy | |
| Resident #3's Psychiatrist | Interviewed regarding medication orders for Resident #3 |
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