Inspection Reports for Guilford House

This is a biennial follow-up construction survey conducted to verify correction of previously cited deficiencies related to physical plant and safety requirements.

The facility failed to correct all previously cited deficiencies, including missing fire-rated glazing identification on doors, lack of privacy partitions or curtains in bathrooms, absence of handrails on both sides of corridors, hazardous handrails missing end returns, and a building sprinkler system not maintained in safe operating condition.

This report documents a Construction Section Biennial Survey conducted to assess compliance with the 2005 Rules for the Licensing of Adult Care Homes and the 2009 North Carolina State Building Code for a Home for the Aged licensed to serve 60 residents.

Multiple deficiencies were cited related to physical plant, safety, and maintenance issues including failure to maintain locking systems, lack of privacy in bathrooms, missing handrails, absence of wanderer alarms, inadequate laundry facilities, poor housekeeping, malfunctioning emergency and fire safety equipment, electrical hazards, sprinkler system issues, blocked corridor doors, use of prohibited portable electric heaters, and non-functioning exhaust ventilation systems.

The Adult Care Licensure Section conducted an annual survey from 09/06/23 to 09/07/23 to assess compliance with medication administration and other regulatory requirements.

The facility failed to administer medications as ordered for one of five sampled residents (#3), specifically failing to administer the prescribed diltiazem 240mg daily from 08/30/23 through 09/06/23 due to a medication administration record (eMAR) system error and staff oversight.

The Adult Care Licensure Section conducted a follow-up and annual survey on 03/03/20 and 03/04/20 to assess compliance with regulations regarding self-administration of medications.

The facility failed to ensure that Resident #1 had physician's orders to self-administer multiple medications and supplements. Medications and supplements were found in the resident's room without prescription labels or documented orders, and no self-administration assessment was documented. Facility staff were unaware of the resident's possession of these medications, and the Director of Resident Care had removed the items and informed the family that the resident was not allowed to have them without proper orders.

The Adult Care Licensure Section and the Guilford County Department of Social Services conducted a follow-up survey and complaint investigation on December 4-6, 2019, initiated due to a complaint on November 12, 2019.

The facility failed to meet minimum staffing requirements on multiple shifts, failed to assure health care referral and follow-up for several residents, failed to serve therapeutic diets as ordered, failed to assist residents with eating in a timely manner, and failed to maintain adequate staffing in the Special Care Unit. Medication administration errors and documentation inaccuracies were also found. These failures were detrimental to resident health, safety, and welfare.

Complaint investigation initiated on November 12, 2019, related to staffing shortages, medication errors, and resident care concerns.

The Adult Care Licensure Section conducted a follow-up survey to verify correction of previous deficiencies related to medication administration, health care referrals, and documentation.

The facility failed to assure medications were administered as ordered for 4 of 5 sampled residents, including errors with antipsychotic medications, antibiotics, antihypertensives, antidepressants, sleep aids, and topical analgesics. Additionally, medication administration records were inaccurate and incomplete, and one medication aide lacked required training and competency documentation.

This is a Construction Section Biennial Survey conducted to assess compliance with the 2005 Rules for the Licensing of Adult Care Homes and the 2009 North Carolina State Building Code for an adult care home licensed to serve 60 residents.

Multiple deficiencies were cited including unclean and unrepaired mechanical systems and floors, failure to conduct regular fire safety rehearsals on each shift, emergency lighting and fire safety equipment not maintained in safe and operating condition, fire safety penetrations not properly firestopped, obstructed fire sprinkler heads, and unsafe electrical system conditions.

This document is a Statement of Deficiencies and Plan of Correction following a Construction Section Biennial Survey conducted on 03/08/2017 at Guilford House, a licensed Home for the Aged serving 60 residents.

The survey identified multiple deficiencies including an ice machine drain line in contact with the floor drain, malfunctioning magnetic lock on the Special Care Bistro exit door, corridor fire doors that do not close or latch properly, a non-working battery powered emergency light, and a missing or improperly fitted sprinkler escutcheon in the main electrical room.

This is a follow-up construction survey to verify correction of deficiencies cited during the March 24, 2015 Biennial Construction Survey.

The facility failed to satisfactorily correct multiple deficiencies related to housekeeping and furnishings, fire safety evacuation plans, building equipment maintenance, and exhaust ventilation. Specific issues included a loose sink, improperly oriented evacuation diagrams, fire doors not latching, non-functioning emergency lighting, impaired fire sprinkler escutcheon plates, and non-operational exhaust systems in certain areas.

Biennial Construction Survey to assess compliance with the 2005 Rules for the Licensing of Adult Care Homes and the 2009 North Carolina State Building Code, Section 409-Institutional.

Multiple physical plant deficiencies were noted including unsafe outside premises, housekeeping and furnishings issues, improperly posted evacuation plans, lack of ground fault protection in electrical outlets in wet locations, unsafe building equipment and fire safety issues, impaired fire sprinkler escutcheon plates, and inadequate exhaust ventilation.

The Adult Care Licensure Section conducted an annual survey from January 13, 2015 through January 15, 2015 to assess compliance with regulatory requirements.

The facility was found deficient in multiple areas including failure to ensure staff had no substantiated findings on the Health Care Personnel Registry upon hire, failure to implement physician orders for weekly weights for a resident, medication administration errors involving insulin for a resident, failure to provide required special care unit orientation and training to staff, and failure to ensure medication aides met state training and competency requirements.