Inspection Reports for Croasdaile Village
2600 Croasdaile Farm Parkway Durham, NC 27705, NC, 27705
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Unclassified
NC DHSR Star Rating History
| Date | Rating | Score | Merits | Demerits | Type |
|---|---|---|---|---|---|
| Oct 21, 2025 | 104.5 | 4.5 | 0 | Annual Inspection | |
| Feb 26, 2024 | 102.5 | 2.5 | 0 | Annual Inspection | |
| Feb 6, 2023 | 97 | 5 | 4 | Follow-Up Inspection | |
| Nov 18, 2022 | 96 | 5.5 | 9.5 | Annual Inspection | |
| May 9, 2019 | 101.5 | 5.5 | 4 | Annual Inspection | |
| Jun 1, 2016 | 105.5 | 5.5 | 0 | Annual Inspection | |
| Nov 21, 2013 | 103.5 | 5.5 | 2 | Annual Inspection | |
| Oct 13, 2011 | 101.5 | 3.5 | 2 | Annual Inspection | |
| Jul 14, 2010 | 105.5 | 5.5 | 0 | Annual Inspection | |
| Sep 15, 2009 | 105.5 | 5.5 | 0 | Annual Inspection |
Inspection Report
Follow-Up
Deficiencies: 3
Jan 5, 2023
Visit Reason
The Adult Care Licensure Section conducted a follow-up survey on January 4-5, 2023 to verify correction of previous deficiencies related to resident assessments and medication self-administration.
Findings
The facility failed to ensure initial assessments were completed within 72 hours of admission for sampled residents #1 and #2. Additionally, the facility failed to ensure one of two residents sampled had a physician's order to self-administer vitamins, and there were documentation and medication storage issues related to Resident #4's self-administration of vitamins.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure an initial assessment of each resident was completed within 72 hours of admission using the Resident Register for 2 of 5 sampled residents (Resident #1 and Resident #2). |
| Facility failed to ensure 1 of 2 residents sampled (Resident #4) had a physician's order to self-administer vitamins. |
| Documentation and medication storage issues related to Resident #4's self-administration of vitamins, including lack of documentation of date bottle was opened and no self-administration order. |
Report Facts
Residents sampled: 5
Residents sampled for self-administration: 2
Vitamin B dosage: 1000
Vitamin D dosage: 125
Vitamin B12 tablets: 16
Multi-vitamin tablets: 29
Inspection Report
Annual Inspection
Deficiencies: 2
Mar 8, 2019
Visit Reason
The Adult Care Licensure Section conducted an annual survey of Croasdaile Village on March 7-8, 2019 to assess compliance with regulatory requirements.
Findings
The facility was found deficient in tuberculosis testing documentation for one resident and in maintaining cleanliness and pest control in the assisted living kitchen, including issues with the plate warmer, floor under the dishwasher, and floor behind the refrigerator.
Deficiencies (2)
| Description |
|---|
| Failure to assure 1 of 3 residents sampled was tested upon admission for tuberculosis disease due to missing read date and results documentation for the second TB skin test. |
| The kitchen, dining and food storage areas were not kept clean and free from contamination, evidenced by debris and dead bugs including a cockroach inside the plate warmer, buildup of debris and dust under the dishwasher supported by a dishrack on the floor, and dead bugs and dust behind the reach-in refrigerator. |
Report Facts
Inspection score: 96
Residents sampled for TB testing: 3
Residents with TB testing deficiency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Clinical Supervisor | RNCS | Responsible for completion of the second step TB skin test for residents; interviewed regarding TB testing documentation |
| Administrator | Responsible for auditing TB tests for residents; interviewed regarding TB testing and kitchen cleanliness | |
| Assistant Dining Director | Interviewed regarding kitchen cleanliness and pest control observations | |
| Dinning Director | Interviewed regarding dishwasher support and kitchen cleaning practices | |
| Kitchen staff | Interviewed regarding cleaning practices of plate warmer, refrigerator, and dishwasher |
Inspection Report
Plan of Correction
Capacity: 30
Deficiencies: 5
Feb 28, 2019
Visit Reason
Biennial Construction Survey conducted to assess conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the North Carolina Building Code and licensing rules.
Findings
The survey identified multiple deficiencies including failure to maintain outside premises in a clean and safe condition, furnishings and walls not kept in good repair, and building equipment including fire safety systems not maintained in a safe and operable condition.
Deficiencies (5)
| Description |
|---|
| Outside premises were not maintained in a clean and safe condition; insulation boards over exterior soffits were buckling, curling, and separating. |
| Furnishings were not kept in good repair, including chipped door veneer and doors dragging on frames. |
| Walls were not kept in good repair, with small holes in walls and fallen plastic housing for washer connections. |
| Failure to maintain building's fire safety systems in a safe condition; unsealed penetration in fire resistant ceiling. |
| Fire safety equipment not maintained in safe and operable condition; delayed egress door lacked required signage at time of observation. |
Report Facts
Licensed capacity: 30
Inspection Report
Capacity: 30
Deficiencies: 9
Mar 19, 2015
Visit Reason
This report is of a Biennial Construction Survey conducted to assess the facility's conformance with applicable adult care home licensing rules and state building codes.
Findings
Multiple deficiencies were identified including unsafe delayed egress doors, unprotected penetrations compromising fire-resistance ratings, plumbing issues risking contamination, non-illuminated exit signage, unsafe electrical outlet use, doors not closing properly to contain smoke and fire, loose toilets risking leaks, and a non-functioning exhaust fan in the kitchen mop room.
Deficiencies (9)
| Description |
|---|
| Delayed egress door at D201 Mechanical Room did not release upon alarm, restricting free egress in an emergency. |
| Unprotected penetrations in walls and ceilings compromising fire-resistance rating in multiple locations including mechanical rooms, kitchen mop room, and laundry wall. |
| Drain line on ice machine lacked required 2-inch air gap, risking contamination. |
| Exit sign at Dining Room exit door was not illuminated, reducing visibility in emergencies. |
| Residents were allowed to use electrical outlet expansion blocks, risking circuit overload. |
| Doors including Dining Room door and coordinated doors to Country Kitchen did not close properly to contain smoke and fire. |
| Toilets in rooms D109 and D104 were coming loose from the floor, risking leaks from broken wax seals. |
| Fire-resistance rated ceilings and walls penetrated by HVAC ducts and conduits in kitchen, corridor, mechanical rooms, and attic, compromising smoke and fire containment. |
| Exhaust fan in Kitchen Mop Room was not working, failing to maintain required ventilation. |
Report Facts
Total licensed capacity: 30
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