Inspection Reports for Charter Senior Living of Fox Hollow

The Adult Care Licensure Section conducted an annual and follow-up survey from 04/22/25 to 04/23/25 to assess compliance with adult care home regulations.

The facility was found deficient in multiple areas including unsafe storage of oxygen cylinders, incomplete and unsigned resident care plans, failure to ensure health care follow-up for a resident, failure to implement physician orders for lab work, and medication administration errors including crushing medications without orders, incorrect medication doses, and inaccurate medication administration records.

The visit was a 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 inspection was a Construction Section Biennial Survey conducted to assess compliance with physical plant, building, and fire safety codes applicable to the licensed adult care home.

Multiple deficiencies were cited related to building and fire safety code compliance, including issues with delayed egress door signage and operation, corridor obstructions, unsecured compressed gas cylinders, malfunctioning fire and smoke barrier doors, electrical hazards, sprinkler system maintenance, and the presence of prohibited portable electric heaters.

The Adult Care Licensure Section and the Moore County Department of Social Services conducted an annual and follow-up survey on 12/11/23 through 12/12/23.

The facility was found deficient in maintaining proper water temperatures, ensuring hot foods were served hot to Special Care Unit residents, providing milk/dairy three times daily to SCU residents, administering medications as ordered including controlled substances, and responding timely to medication review recommendations.

The Adult Care Licensure Section and the Moore County Department of Social Services conducted an annual and follow-up survey on 11/09/21 through 11/10/21 with an exit conference on 11/12/21.

The facility failed to ensure that residents' physicians certified their care plans by signing and dating them within 15 days of assessment for 4 of 5 sampled residents. Several care plans were incomplete, unsigned by primary care providers, and lacked documentation of residents' activities of daily living. The facility lacked a good tracking system to ensure care plans were completed and signed.

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

The survey found that some deficiencies related to fire safety construction were not corrected, specifically that the required one-hour fire rated walls and ceilings were compromised by unapproved sealing materials.

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

Several deficiencies related to physical plant safety were found, including exit doors that were hard to open, fire-rated doors that did not latch properly, gaps in fire-rated doors, unsealed conduit sleeves, and missing sprinkler escutcheons.

This is a Construction Section Biennial Survey conducted to ensure the facility meets applicable licensing rules and building codes, including the 1996 Rules for Licensing Adult Care Homes and the 1996 North Carolina State Building Code.

Multiple deficiencies were identified related to physical plant and safety, including failure to meet state building code requirements for special locking exit doors, lack of hand grips in bathrooms, corridor obstructions, exit doors not easily operable, unsafe storage of portable oxygen cylinders, fire safety issues with doors and walls not closing or latching properly, compromised fire rated ceilings and walls, malfunctioning exit signs, and non-working exhaust ventilation in certain closets.

The visit was a Biennial Follow Up Construction Survey to assess correction of previously identified deficiencies related to building and fire safety systems.

The facility failed to maintain the building and fire safety systems in a safe condition, specifically noting removal of sprayed-on fire-proofing in the First Floor Main Electrical and Maintenance Rooms. A contractor has been selected but repairs have not yet been completed.

The Adult Care Licensure Section and the Moore County Department of Social Services conducted an annual survey and complaint investigation from June 13, 2017 through June 15, 2017.

The facility failed to ensure that one of six sampled staff did not have a criminal background check upon transfer from a sister facility, and one of two sampled Medication Aides did not have documented required training or employment verification to perform their duties.

The visit included a complaint investigation conducted concurrently with the annual survey.

This is a Construction Section Biennial Survey conducted to ensure the facility meets the 1996 Rules for Licensing of Adult Care Homes and applicable North Carolina State Building Code requirements.

The facility was found deficient in meeting physical plant requirements including emergency release switch keys, fire safety, electrical, mechanical, and plumbing equipment maintenance. Specific issues included failure to maintain emergency release switch keys with all staff, removal of fire-proofing in certain areas, inadequate emergency lighting, exit signage illumination, door latching, and plumbing fixture security.

Follow-up construction survey to verify correction of deficiencies cited during the January 22, 2015 Biennial Construction Survey.

The facility failed to provide mechanical exhaust ventilation in several locations including the Maintenance Room and Janitorial Room next to the front stairwell, indicating that previously cited deficiencies have not been satisfactorily corrected.

This is a Biennial Construction Survey conducted to assess compliance with the 1996 Rules for the Licensing of Adult Care Homes, applicable portions of the 2005 Rules for Adult Care Homes of Seven or More Beds, and the 1996 North Carolina State Building Code - Section 409 Institutional Occupancy (Group I).

The facility failed to meet several physical plant requirements including NC State Building Code compliance for delayed egress doors, proper storage of oxygen bottles, maintenance of fire safety and electrical systems, maintenance of one-hour rated ceilings, proper operation of smoke doors, and provision of mechanical exhaust ventilation in specified areas.