Inspection Reports for Dunmore Plantation
515 W. Kapp Street Dobson, NC 27017, Dobson, NC, 27017
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
9.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
81% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Follow-Up
Deficiencies: 0
Date: May 8, 2024
Visit Reason
Follow Up Construction Survey by Documentation to verify correction of previously cited deficiencies.
Findings
All previously cited deficiencies have been corrected based on documentation received, and no further action is required at this time.
Inspection Report
Capacity: 60
Deficiencies: 7
Date: Apr 10, 2024
Visit Reason
The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the 1967 Edition of the North Carolina Building Code, Institutional Occupancy, and the 1971 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure.
Findings
Deficiencies were cited related to physical plant issues including improper identification of emergency release switches, floors not kept in good repair, oxygen bottles improperly stored, fire safety equipment and systems not maintained in safe and operating condition, and lack of exhaust ventilation in specified areas.
Deficiencies (7)
The central emergency release switch at the Nurses' Station was not properly identified.
The edges of the vinyl floor planks in Room 122 are beginning to chip and peel.
Oxygen bottles were improperly stored without means of restraint to prevent falling or being knocked over.
Holes or gaps at penetrations through fire resistant rated ceilings could allow fire and smoke to spread beyond the area of origin.
The door in Room 122 does not latch when closed, compromising smoke compartment safety.
The heat detector in Room 106 was detaching from its base but was corrected at the time of survey.
The exhaust fan in the SCU Men's Half Bath is not working, failing to maintain required exhaust ventilation.
Report Facts
Licensed beds: 60
Inspection Report
Follow-Up
Deficiencies: 1
Date: Aug 31, 2022
Visit Reason
The Adult Care Licensure Section conducted a follow-up survey from August 30, 2022 to August 31, 2022 to verify correction of previous deficiencies related to infection prevention and control during the COVID-19 pandemic.
Findings
The facility failed to ensure implementation and maintenance of CDC and NCDHHS guidance on proper use of facemasks by staff to protect residents during the COVID-19 pandemic. Observations and interviews revealed multiple staff not wearing masks properly or at all in areas where residents were present or could be encountered.
Deficiencies (1)
Failure to ensure recommendations and guidance established by CDC and NCDHHS were implemented and maintained regarding proper use of facemasks (source control) by staff during the COVID-19 pandemic.
Report Facts
Residents present in dining room: 10
Residents led from Special Care Unit: 14
Residents entering dining room doors: 2
Staff not wearing masks in entry area: 5
Inspection Report
Capacity: 60
Deficiencies: 9
Date: May 9, 2019
Visit Reason
The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the 1967 Edition of the North Carolina Building Code, Institutional Occupancy, and the 1971 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure.
Findings
Multiple deficiencies were cited including failure to meet building code requirements for fire alarm coverage, unmaintained outside grounds, poor housekeeping and furnishings condition, unsafe storage of oxygen bottles, plumbing fixtures not secured, mechanical ventilation not operational in bathrooms, and excessive particulate build-up in return-air grilles.
Deficiencies (9)
No heat detection devices in the bathroom and closet for Room 110 located in the SCU as required by the NC State Building Code.
Outside grounds not maintained in a clean and safe condition; bush limbs resting on the roof above the Living Room and Lounge in the SCU.
Excessive lint build-up on the roof shingles adjacent to the dryer exhaust venting.
Ceiling opening at the backside of a 4" electrical conduit that is not fire protected located in the Boiler Room.
Oxygen bottles in the Clean Linen/Storage Room sitting on the floor not stored in approved racks.
Threshold in disrepair and secured to the floor at Room 112.
Plumbing fixtures not maintained in a safe and operating condition; toilets not secured to the floor in the Men's and Women's Bathroom across the Hall from Room 124.
Mechanical components not maintained in a safe and operating condition; excessive particulate build-up in return-air grilles and housing in resident rooms.
Exhaust ventilation not provided at bathrooms and toilet rooms; SCU Women's Bathroom mechanical ventilation not operational across from the Nurse's Station.
Report Facts
Total licensed beds: 60
Inspection Report
Capacity: 60
Deficiencies: 7
Date: Jun 22, 2017
Visit Reason
The facility was surveyed for 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, as part of a Construction Section Biennial Survey.
Findings
The survey identified multiple deficiencies including lack of current fire inspection reports, failure to provide privacy in bathrooms, ceilings and floors not maintained in good repair, exit doors not maintained properly, fire safety equipment not maintained in safe operating condition, and some bathrooms lacking working exhaust ventilation.
Deficiencies (7)
Facility did not maintain current fire inspection reports in the facility for review; a current fire inspection report received was not approved.
Facility failed to provide privacy for the commodes in one bathroom; one privacy curtain was used for both toilets.
Ceilings were not maintained in good repair, including an 18" long oval water stain with splitting ceiling finish in the dining room.
Floors were not maintained in good repair; threshold at corridor door in Room 124 was broken with approximately two-thirds missing.
Exit doors were not maintained in good repair; door at Exit 7 dragged on frame and door hardware at Exit 2 was loose.
Failure to maintain fire safety equipment in a safe operating condition; dining room/kitchen door did not close and latch, exit light and emergency light not working, and door hardware loose creating a hole in Med Room door.
Some bathrooms did not have working exhaust ventilation at the required rate; bathroom exhaust fans in Room 126 and Room 112 were not working.
Report Facts
Licensed capacity: 60
Water stain length: 18
Threshold missing fraction: 0.66
Inspection Report
Follow-Up
Deficiencies: 4
Date: Sep 24, 2015
Visit Reason
This report is of a Followup Survey conducted to verify if previously identified deficiencies have been corrected at Dunmore Plantation.
Findings
The follow-up survey found that not all deficiencies had been corrected. Issues included damaged floor tiles creating tripping hazards, unprotected penetrations in the boiler room compromising fire safety, malfunctioning exit sign illumination on backup power, and inadequate or non-functioning exhaust ventilation in several areas.
Deficiencies (4)
Floors were chipped, cracked, broken, swollen, and raised, creating tripping hazards in areas including Bedroom 106.
Boiler room's one-hour fire-resistance-rated enclosure was not maintained due to unprotected penetrations by plastic pipe greater than 2 1/2 inches needing fire collars.
Exit sign illumination did not work on backup power at locations including the exit right rear, affecting emergency egress.
Exhaust ventilation failed to provide required airflow or was not working in multiple locations including patient bath across from Bedroom 109, women and men public toilet rooms.
Inspection Report
Capacity: 60
Deficiencies: 19
Date: Jun 17, 2015
Visit Reason
Biennial Construction Survey conducted to assess compliance with physical plant standards, fire safety, housekeeping, and other regulatory requirements for the facility licensed for 60 beds.
Findings
Multiple deficiencies were identified including outdated fire and building safety inspection reports, lack of privacy in bathrooms, damaged floors, unclean and disrepaired furnishings, unsafe building equipment and fire safety issues, use of prohibited portable electric heaters, inadequate hot water temperature, and insufficient exhaust ventilation.
Deficiencies (19)
Facility failed to provide all fire and building safety inspection reports; Annual Fire Officials Report and Fire Alarm System Report were over a year old.
Bathrooms and toilet rooms lacked privacy partitions or curtains at multiple patient baths.
Floors in bedrooms 106 and 109 were chipped, cracked, broken, swollen, and raised creating tripping hazards.
Ice machine drain in kitchen piped directly onto floor receptor, risking contamination.
HVAC and ventilation grilles and dampers had excessive dust/lint accumulation, risking fire containment failure.
Furniture in Bedroom 109 had a chair with torn seat bottom.
Fire protection equipment not maintained at required 30 feet maximum spacing; smoke detectors had 45-48 feet gaps.
Boiler room fire-resistance-rated enclosure compromised by missing door closer and abandoned pipe penetration.
Left side firewall door impaired with broken veneers and poor condition, possibly failing to contain fire.
Exit signs failed to illuminate on normal or backup power at multiple exits.
Unapproved multiple plug surge protectors without integral overcurrent protection throughout building.
Commercial kitchen hood fire extinguishing system lacked required inspections and documented maintenance since April 2015.
Corridor doors failed to resist passage of smoke due to gaps and failure to latch properly.
Some corridor doors were held open by devices or blocked, preventing rapid closing and latching.
Breaches in fire-resistance-rated construction including unsealed cable penetrations and gaps in firewalls and ceilings.
Egress impeded by locked pantry door and walk-in refrigerator with padlocks preventing override access.
Use of prohibited portable electric heater found in front Admin Office.
Hot water temperature at Bedroom 113 sink was 96°F, below minimum required 100°F.
Exhaust ventilation failed to provide required airflow or was not working in multiple bathrooms and toilet rooms.
Report Facts
Total licensed capacity: 60
Fire Officials Report age: 1
Fire Alarm System Report age: 1
Smoke detector gap: 45
Hot water temperature: 96
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