Inspection Reports for Chatham Ridge

The Adult Care Licensure Section conducted an annual and follow-up survey along with a state-involved complaint investigation from September 24, 2024 through September 26, 2024.

The facility failed to ensure proper verification and clarification of medication orders for one sampled resident, resulting in administration of medications ordered by a non-primary care provider. Additionally, the facility failed to refund the remainder of advance payments within 14 days for one resident after discharge, violating refund policies.

The inspection included a state-involved complaint investigation related to medication order verification and refund processing issues.

The report documents a Construction Section Biennial Survey conducted to assess compliance with the 2005 Rules for Adult Care Homes of Seven or More Beds and the 2006 North Carolina State Building Code Section 409.1-Institutional Occupancy (Group I-2).

Multiple deficiencies were cited related to building safety, including lack of current sanitation and fire safety reports, unsecured compressed gas cylinders, loose handrails, fire safety equipment not maintained in safe operating condition, smoke barrier penetrations not properly firestopped, corridor doors lacking positive latching hardware, improper storage of combustible materials, blocked or held-open corridor doors, sprinkler system issues, use of prohibited portable electric heaters, and lack of locking features on ranges in resident activity areas.

The Adult Care Licensure Section conducted an annual and follow-up survey on July 18 and 19, 2023 to assess compliance with regulations including nutrition, medication administration, self-administration of medications, and medication storage.

The facility failed to serve therapeutic diets and nutritional supplements as ordered for residents, failed to administer medications correctly including nutritional supplements and constipation medications, allowed residents to keep medications in their rooms without proper orders or secure storage, and failed to ensure residents had physician orders for self-administration of medications such as eye drops.

The Adult Care Licensure Section and the Chatham County Department of Social Services conducted an annual and follow-up survey and complaint investigation from 12/15/21 to 12/17/21, initiated by a complaint on 11/19/21.

The facility was found deficient in implementing physician orders for fingerstick blood sugar checks for one resident, lacked a therapeutic diet menu for a resident on a FODMAP diet, failed to maintain an accurate and current listing of residents with physician-ordered therapeutic diets for two residents, and failed to serve therapeutic diets as ordered by the physician for two residents.

Complaint investigation initiated by the Chatham County Department of Social Services on 11/19/21 related to Resident #4's care.

The Adult Care Licensure Section conducted a Follow-Up Survey on 04/27/21-04/28/21 to assess compliance with health care regulations related to resident care and notification of primary care providers.

The facility failed to notify the primary care provider (PCP) for two of three sampled residents regarding important health care issues: Resident #5's refusal and missing use of compression stockings was not communicated to the PCP, and Resident #2's daily blood pressure readings were not consistently sent to the PCP as ordered.

The Adult Care Licensure Section conducted a complaint investigation with onsite visits on March 3-4, 2021, March 9, 2021, and March 11, 2021 and desk review survey on March 5, 2021, March 8, 2021, March 10, 2021, and March 12, 2021 with a telephone exit on March 12, 2021.

The facility failed to provide supervision in accordance with assessed needs for 2 residents, failed to implement physician's orders for 1 resident, and failed to protect 3 residents from physical and verbal abuse by staff and others. The facility also failed to report injuries of unknown origin and staff abuse allegations to the Health Care Personnel Registry in a timely manner. Medication administration errors were also observed.

The complaint investigation was triggered by allegations of inadequate supervision, medication errors, physical and verbal abuse by staff, and failure to report injuries and abuse to the Health Care Personnel Registry.

The inspection was a Construction Section Biennial Survey conducted to assess compliance with the 2005 Rules for Adult Care Homes of Seven or More Beds and the 2006 North Carolina State Building Code Section 409.1 for Institutional Occupancy Group I-2 (Unrestrained).

Multiple deficiencies were cited including failure to maintain the facility free of hazards, failure to maintain fire safety systems and equipment in safe and operating condition, unsecured oxygen bottle, use of non UL listed multi-plug adaptor, unsupervised oven in activity room, and non-functioning exhaust ventilation in several areas.

The Adult Care Licensure and Chatham County Department of Social Services conducted an annual survey and complaint investigation from August 15, 2018 through August 17, 2018.

The facility failed to assure that 1 of 5 sampled residents was tested for Tuberculosis (TB) disease upon admission, specifically Resident #2 who had no documentation of TB skin testing since admission.

The visit included a complaint investigation as part of the annual survey. The complaint involved failure to ensure TB testing upon admission for Resident #2. Substantiation status is not explicitly stated.

The report documents a Construction Section Biennial Survey conducted to assess compliance with the 2005 Rules for Adult Care Homes of Seven or More Beds and the 2006 North Carolina State Building Code for Institutional Occupancy Group I-2.

Multiple deficiencies were cited related to physical plant conditions including floors not in good repair, housekeeping issues, unsafe plumbing equipment, fire safety doors not latching properly, fire safety system deficiencies, electrical hazards, and the presence of a prohibited portable electric heater.

The Adult Care Licensure Section conducted an annual survey and complaint investigation on January 19-20, 2017 and January 23-24, 2017.

The facility failed to assure adequate supervision for 4 of 4 residents (#2, #3, #4, and #6) who had falls resulting in injuries including hip fractures and other physical injuries. The facility also failed to assure staff qualifications related to health care personnel registry checks for one staff member. These failures resulted in substantial risk of serious physical harm and neglect.

The inspection included a complaint investigation related to supervision and falls resulting in injuries to residents.