Inspection Reports for Carmel Hills

This is a Construction Section Biennial Survey conducted to ensure the facility conforms to the 1977 Minimum Standards and Regulations for Homes for the Aged and Infirm, applicable portions of the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds, and the 1978 Edition of the North Carolina Building Code, Section 409 - Institutional Occupancy.

Multiple deficiencies were cited including unresolved issues from the annual fire safety inspection, failure to submit construction documents for fire alarm panel replacement, corridor obstructions, electrical outlets in wet locations lacking ground fault interrupters, unsafe and non-operating emergency equipment, and improperly maintained smoke tight corridor doors. Some deficiencies were corrected before the surveyor left the site.

The Adult Care Licensure Section conducted an annual and follow-up survey on 06/01/22 to 06/02/22 to assess compliance with adult care home regulations.

The facility failed to clarify medication orders for one resident and failed to administer medications as ordered for two residents, resulting in a medication error rate of 8%. Additionally, the facility failed to report confirmed COVID-19 cases to the local health department within the required timeframe.

The visit was a Construction Section Biennial Survey to ensure the facility conforms to applicable building codes and licensing standards.

Deficiencies were cited related to the facility's failure to meet code requirements for emergency release switches at magnetically locked exit doors, where not all staff carried release keys as required.

The Adult Care Licensure Section conducted an Annual Survey of Carmel Hills on May 31, 2018, to assess compliance with state regulations including resident assessments and licensed health professional support.

The facility failed to ensure that a functional assessment was completed annually for one sampled resident (Resident #2) and did not complete quarterly Licensed Health Professional Support (LHPS) reviews and evaluations for the same resident. The Director of Nursing lacked a system to ensure timely completion of care plans and LHPS assessments, and oversight was insufficient.

The visit was a Construction Section Biennial Survey to ensure the facility conforms to applicable standards and regulations for Homes for the Aged and Infirm, including building codes and licensing rules.

Deficiencies were cited related to the physical plant, specifically the facility's failure to maintain the wood finishes of interior doors in good repair, with scratches, marks, and damaged edges noted in multiple resident rooms and the dining room.

The Adult Care Licensure Section conducted an Annual Survey from 12/8/15 to 12/19/15 to assess compliance with state regulations for Carmel Hills adult care home.

The facility failed to ensure infection prevention procedures were followed, including proper disinfection of glucometers and use of unlabeled lancing pens, and failed to ensure all staff had substantiated findings checked on the North Carolina Health Care Personnel Registry. Multiple residents' glucometers were mislabeled or switched, and infection control policies and monitoring were inadequate.

This is a Biennial Construction Survey conducted to ensure the facility conforms to applicable building codes and licensing standards for adult care homes.

The facility failed to maintain fire safety, electrical, mechanical, and plumbing systems in safe and operating condition, including non-functioning emergency lights, a faulty GFCI receptacle, unprotected penetrations in fire-rated ceilings, and fire resistance issues with building components such as doors.