Inspection Reports for Edenton House
323 Medical Arts Drive Edenton, NC 27932, Edenton, NC, 27932
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
5.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Follow-Up
Deficiencies: 5
Date: May 29, 2025
Visit Reason
This is a Biennial Follow Up Construction Survey conducted to verify correction of deficiencies identified in the previous Biennial Construction Survey.
Findings
The facility had multiple deficiencies including furniture not in good repair, ceilings and floors not kept clean and in good repair, failure to conduct quarterly fire safety rehearsals on each shift with proper documentation, failure to maintain fire safety equipment in safe operating condition, and mechanical equipment issues such as ice buildup on the kitchen floor.
Deficiencies (5)
Furniture was not in good repair, including trimmed and glued veneer not replaced and broken drawers with peeling veneer on wardrobes.
Ceilings and floors were not kept clean and in good repair; floor planks buckled creating trip hazards.
Facility was not conducting fire rehearsals quarterly on each shift and did not provide descriptions of what the rehearsals involved; records for multiple quarters and shifts in 2024 were missing.
Failure to maintain fire safety equipment in safe operating condition; kitchen door to dining does not automatically close.
Mechanical equipment not maintained in safe operating condition; 1 inch thick layer of ice on kitchen floor at the door.
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Apr 16, 2025
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey and complaint investigation on April 15 and 16, 2025.
Complaint Details
The visit included a complaint investigation triggered by an incident involving Resident #3 who had a head injury with bruising and swelling. The complaint focused on the facility's failure to notify the correct hospice provider promptly.
Findings
The facility failed to ensure follow-up to meet the acute health care needs of one sampled resident (#3) by not notifying the correct hospice provider in a timely manner after the resident sustained a visible head injury. The resident was assessed and monitored, but the correct hospice provider was contacted approximately five hours late.
Deficiencies (1)
Failed to ensure follow-up to meet the acute health care needs of 1 of 5 sampled residents related to failing to notify the correct hospice provider after the resident had a visible head injury.
Report Facts
Dates of survey: April 15, 2025 and April 16, 2025
Incident date and time: 03/07/25 at 4:14am
Resident admission date: 02/10/17
Resident #3 hospice service start date: 07/03/24
Resident vital signs: Temperature 97.5, pulse 75, respirations 17, blood pressure 127/70 at 6:47am
Hospice nurse visit time: 5:45pm to 6:15pm on 03/07/25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator | Resident Care Coordinator (RCC) | Completed Incident/Accident report and communicated with hospice and family |
| Medication Aide | Medication Aide (MA) | Notified PCP, RP, hospice, and Administrator of resident's injury; applied ice pack |
| Administrator | Administrator | Notified of resident injury; interviewed regarding facility expectations |
| Care Team Manager | Care Team Manager for Resident #3's hospice provider | Provided information about hospice services and timing of visits |
| Hospice Registered Nurse | Hospice RN | Assessed Resident #3 and communicated with family and facility |
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Aug 17, 2022
Visit Reason
The Adult Care Licensure Section conducted an annual survey and complaint investigation on August 16-17, 2022.
Complaint Details
The visit included a complaint investigation related to missing articles of clothing in the laundry.
Findings
The facility failed to ensure residents' rights related to missing clothing items in the laundry and failed to administer medications as ordered, including errors with diabetes and glaucoma medications and incomplete antibiotic administration.
Deficiencies (2)
Facility failed to ensure the rights of residents related to missing articles of clothing in the laundry.
Facility failed to administer medications as ordered for 2 of 3 residents observed during medication passes, including errors with diabetes and glaucoma medications, and failed to administer a full course of an antibiotic for 1 of 5 residents reviewed.
Report Facts
Medication error rate: 6
Medication doses administered: 12
Medication doses ordered: 14
Inspection Report
Capacity: 60
Deficiencies: 4
Date: Apr 10, 2019
Visit Reason
This facility was surveyed for conformance with the applicable portions of the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and the 2002 Edition of the North Carolina Building Code(s), Section 407-Group I-2, as part of a Construction Section Biennial Survey.
Findings
The facility failed to maintain the outside premises in a clean and safe condition, with bed mattresses blocking an egress path. Additionally, HVAC distribution components had excessive particulate build-up, fire safety components were not maintained in a safe and operating condition, the salon door was wedged open compromising fire safety, and the ice-maker condensate drain line lacked the required air gap.
Deficiencies (4)
Outside premises not maintained in a clean and orderly manner; bed mattresses blocking egress path on sidewalk adjacent to exit for the 300 Hall.
HVAC distribution components not maintained cleanly; resident bathroom exhaust ventilation grilles and housing have excessive particulate build-up.
Fire safety components not maintained in a safe and operating condition; salon door wedged open at bottom allowing passage of smoke and/or fire.
Kitchen equipment components not maintained in a safe and operating condition; ice-maker condensate drain line lacks minimum air gap and is placed directly into floor drain.
Report Facts
Licensed capacity: 60
Inspection Report
Capacity: 60
Deficiencies: 5
Date: May 4, 2017
Visit Reason
This facility was surveyed for conformance with the applicable portions of the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and the 2002 Edition of the North Carolina Building Code, Section 407-Group I-2, as part of a Construction Section Biennial Survey.
Findings
Multiple deficiencies were cited including failure to maintain interior finishes on doors, unsecured corridor handrails, dusty HVAC grilles, improper storage of oxygen cylinders, and missing sprinkler head escutcheon in a closet.
Deficiencies (5)
Interior doors have scratches and veneer damage due to wheelchair interaction in Rooms 113, 114, 115, 206, 208, and 210.
Corridor handrail is not secured to the wall across the hall from the 300 Hall Nurse's Station.
HVAC distribution grille in the Staff Bathroom on the 300 Hall is clogged with dust and particulates.
Oxygen bottles are not stored in approved racks in the 300 Hall Med Room, posing a hazard.
Sprinkler head escutcheon is not in place in the closet at Room 206.
Report Facts
Licensed capacity: 60
Inspection Report
Capacity: 60
Deficiencies: 10
Date: Jan 21, 2015
Visit Reason
The facility was surveyed for conformance with the applicable portions of the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and the 2002 Edition of the North Carolina Building Code as part of a Biennial Construction Survey.
Findings
Physical plant deficiencies were noted including exit door locks not operable by single hand motion, unsanitary conditions due to dust accumulation, expired fire extinguisher maintenance, non-functioning ground fault electrical outlets, emergency lighting failures, smoke-resisting corridor doors issues, breaches in fire-resistance-rated construction, damaged dryer ducts, and fire doors not closing properly.
Deficiencies (10)
Exit door locks were not operable by a single hand motion, requiring multiple hand motions to operate the exterior kitchen door knob.
Excessive accumulation of dust and lint on HVAC grilles, exhaust fans, and radiation dampers in multiple locations; Beauty Shop vacuum breaker was torn apart.
Portable fire extinguisher maintenance tag expired in May 2014.
Ground-fault circuit-interrupter electrical power receptacle did not have electrical power and could not be tested at the screen porch near Bedroom 214.
Wall-mounted emergency lights did not work on backup power in multiple corridors and rooms.
Dutch door at Nurses Station lacked a smoke tight seal between the two leafs.
Fire collar had fallen from its proper location in the Kitchen Mechanical Closet; gaps around gas pipe in Dryer Vent Room.
Clothes dryer transition duct was crushed and had holes.
Corridor door to the Laundry was wedged open, held open by devices that do not release with a push or pull.
Fire rated doors did not close completely; left leaf of the 300 Hall cross-corridor doors did not latch when activated by the fire alarm system.
Report Facts
Licensed capacity: 60
Fire extinguisher maintenance expiration: 2014
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