Inspection Reports for Fayetteville Manor

Biennial Follow Up Construction Survey conducted to verify correction of previously noted deficiencies.

Deficiencies noted during the Biennial Construction Survey have been corrected and no further action is required at this time.

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 applicable portions of the North Carolina Building Code(s) as part of a Construction Section Biennial Survey.

Multiple deficiencies were cited related to physical plant and safety code compliance, including failure to carry emergency release switch keys, lack of automatic fire detection in closets, poor housekeeping and maintenance issues such as peeling ceilings and missing floor tiles, inadequate fire safety rehearsals, electrical outlets without ground fault interrupters, unsealed penetrations in fire resistant ceilings, fire doors not closing properly, broken electrical cover plates, plumbing issues, hot water temperature exceeding limits, and non-functioning exhaust fans in specified areas.

The Adult Care Licensure Section conducted an Annual and Follow Up Survey on 12/06/23 to 12/07/23 to assess compliance with regulations.

The facility failed to ensure medication aides completed required medication aide examinations, failed to administer medication as ordered for one resident, and failed to provide a care coordinator for the special care unit as required.

The Adult Care Licensure Section conducted an annual and follow-up survey on October 13 and 14, 2021, to assess compliance with regulations including activities program, medication administration, infection prevention, and staff training.

The facility failed to provide scheduled activities promoting active resident involvement, had medication administration errors including crushing medications that should not be crushed and missed doses, failed to properly screen visitors for COVID-19 symptoms and temperature, and had a medication aide who lacked required training and clinical skills validation.

Complaint investigation survey conducted due to allegations of inadequate supervision and failure to meet residents' health care needs.

The facility failed to provide adequate supervision for 4 of 5 sampled residents resulting in multiple falls and emergency room visits. The facility also failed to follow up on health care needs for 2 residents, including failure to notify primary care providers of critical conditions and to coordinate medical appointments. Additionally, the facility did not adhere to COVID-19 infection prevention guidelines including proper mask use, resident and staff screening, visitor screening, and social distancing.

Complaint investigation triggered by allegations of inadequate supervision and failure to meet residents' health care needs.

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 applicable portions of the North Carolina Building Code and Rules for Licensing of Adult Care Homes in effect at the time of initial licensure.

The survey identified multiple deficiencies including failure to meet physical plant requirements, housekeeping and furnishings not kept in good repair, electrical emergency and safety lighting equipment not maintained in safe operating condition, inoperable call system devices, unsafe electrical and plumbing equipment, failure to maintain fire safety components, and inadequate exhaust ventilation in required areas.

This report is of a follow-up survey conducted to verify correction of previously identified deficiencies at Fayetteville Manor.

The follow-up survey revealed that not all deficiencies had been corrected. Deficiencies included fire safety equipment such as emergency exit doors requiring excessive force to open, damaged fire resistant rated doors, and HVAC equipment that was damaged, not fully operational, and in need of cleaning.

This report is of a follow-up survey conducted to verify correction of previously identified deficiencies at Fayetteville Manor.

The follow-up survey revealed that several deficiencies remain uncorrected, including damaged furniture, fire safety equipment and doors not operating properly, and HVAC units in disrepair.

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 applicable portions of the 1978 (Revision 5) Edition of the North Carolina Building Code(s), Institutional Occupancy and the 1984 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure.

The facility failed to maintain furniture in good repair, with built-in wardrobes and dressers needing repair. Fire safety equipment and building components were not maintained in safe and operating condition, including gaps in fire resistant ceilings, malfunctioning emergency exit doors, fire resistant doors that did not close or were damaged, and HVAC units that were damaged or not operational.

The Adult Care Licensure Section conducted an annual survey of Fayetteville Manor from February 23 to 25, 2016, to assess compliance with state and federal regulations related to resident care and infection control.

The facility failed to ensure proper infection control procedures for single-patient use glucometers, resulting in multiple residents sharing glucometers without proper cleaning or labeling. This posed a risk of bloodborne pathogen transmission. The facility had unlabeled and multi-use glucometers, and some glucometer memories showed blood sugar readings for multiple residents on the same dates and times. Staff interviews confirmed the use of shared glucometers and lack of individual labeling.