Inspection Reports for Carolina Reserve of Laurel Park

Report of a Construction Section Biennial Follow Up Survey conducted to verify correction of previous deficiencies.

Deficiencies have been corrected. No further action is necessary.

The report documents a Construction Section Biennial Survey conducted on June 20, 2024, to assess compliance with physical plant requirements, building codes, and safety standards for an adult care home licensed for 48 beds.

Multiple deficiencies were cited including lack of vision panels on double-egress corridor doors, improperly secured compressed gas cylinders, electrical hazards, chronic odors, mechanical system issues, obstructed egress paths, fire-resistance-rated construction failures, malfunctioning fire safety equipment, and sprinkler system deficiencies.

This is a biennial follow-up construction survey to verify correction of previously identified deficiencies at Carolina Reserve of Laurel Park.

Some deficiencies were not corrected. Observed issues include broken or unsecured trim on a laminate countertop in the Cafe and a fire-rated corridor door tied open, preventing it from closing and latching properly.

The visit was a Construction Section Biennial Survey to assess compliance with building and fire safety codes and adult care home regulations.

The survey found multiple deficiencies including broken laminate countertop trim, compromised one-hour fire rated walls and ceilings with unsealed penetrations, corridor doors not closing properly, improperly mounted sprinkler escutcheons, excessive combustible storage in non-designated areas, improper storage near fire sprinkler heads, and lack of documentation for monthly inspections of the range hood fire suppression system.

The Adult Care Licensure Section and the Henderson County Department of Social Services conducted a follow-up survey on November 14, 2018.

The document is a follow-up survey report conducted by regulatory authorities; no specific findings or deficiencies are detailed in the provided text.

The Adult Care Licensure Section conducted an annual and follow-up survey on August 22-23, 2018 to assess compliance with state regulations.

The facility failed to ensure that at least one staff person on the premises at all times had current CPR training, specifically on the third shift. Additionally, the facility failed to administer medications as ordered for one resident, resulting in risks related to depression and mood disorder medications.

The visit was a Construction Section Biennial Survey to assess compliance with the 1996 Minimum and Desired Standards and Regulations for Homes for the Aged and Disabled, the 2005 Rules for Adult Care Homes of Seven or More Beds, and the 1996 North Carolina State Building Code.

The facility failed to maintain the service and maintenance of the Fire Alarm Control Panel, resulting in audio-visual devices not activating in the Front Lobby, 100 Hall, and 200 Hall during testing, which could bring harm to residents, staff, and guests.

The Adult Care Licensure Section and the Henderson County Department of Social Services conducted a follow-up survey and complaint investigation on-site December 8-10, 2015, triggered by concerns related to Resident #5's care and missed laboratory tests.

The facility failed to notify the prescribing physician when laboratory tests (blood for hematology and stool samples for occult blood) were not completed timely as ordered for Resident #5, resulting in the resident's hospital admission and subsequent death. Additionally, the facility failed to provide Resident #5's family with reasonable responses regarding lab results and missed lab notifications.

The complaint investigation revealed that Resident #5's weekly CBC blood draw scheduled for 11/25/15 was not performed due to a requisition error, and the family was not informed. The stool occult blood test was also delayed without physician notification. Resident #5 was hospitalized on 11/30/15 with critically low hemoglobin and later died on 12/11/15. The family did not receive timely communication about missed labs or the resident's condition.

The Adult Care Licensure Section and the Henderson County Department of Social Services conducted a follow-up survey and complaint investigation initiated by the Henderson County Department of Social Services on July 22, 2015.

The facility failed to assure medications were administered as prescribed for 6 of 7 sampled residents involving 22 different medications. Multiple residents experienced missed or delayed medication doses due to pharmacy delivery issues, incorrect medication strengths, and documentation inaccuracies. The facility also failed to maintain accurate medication administration records for 3 residents.

Complaint investigation initiated by Henderson County Department of Social Services on July 22, 2015, related to medication administration and documentation issues.

Follow-up survey conducted to verify correction of previously identified deficiencies at the facility.

Some deficiencies related to building equipment and fire safety were not corrected, including compromised one-hour fire rated walls and ceilings with unsealed holes and missing sprinkler escutcheons in multiple locations.

The Adult Care Licensure Section conducted an on-site annual and follow-up survey on March 31-April 2, 2015.

The facility failed to assure medication was administered in accordance with physician orders for 1 of 6 sampled residents, failed to accurately document medication administration for 3 of 6 residents, failed to prevent borrowing of medications for 6 of 10 sampled residents, and failed to implement infection control procedures related to storage and disinfection of resident glucometers for 3 of 5 residents.

Biennial Construction Survey conducted to assess compliance with building, fire safety, electrical, mechanical, and plumbing equipment standards for an adult care home.

The survey found multiple deficiencies including compromised one-hour fire rated walls and ceilings with unsealed penetrations, corridor doors that do not close and latch properly, unsafe storage of portable medical oxygen cylinders, sealed combustion air inlet duct risking carbon monoxide buildup, and presence of a prohibited portable electric heater.