Inspection Reports for Hampton Manor of Holly

The inspection was conducted in response to a complaint regarding a disorganized disaster plan and lack of guidance or support during a power outage at the facility.

The investigation substantiated that the facility had a disorganized disaster plan with no guidance or support during the power outage. Staff and residents were unaware of emergency procedures, emergency outlets were not identified, and residents experienced anxiety and safety concerns during the outage.

The complaint alleged that during a power outage on 3/15/25, there was no management onsite or reachable by phone, emergency outlets were not identified or marked, residents on oxygen were at risk, call lights were not working, and residents were left in the dark and anxious. The allegation was substantiated based on interviews and onsite investigation.

The inspection was conducted in response to a complaint alleging poor quality of care for Resident A, including abuse, improper feeding, and weight loss.

The investigation substantiated violations related to inadequate staff training on transfers, failure to complete incident reports properly, and missed medication doses. However, allegations of Resident A not being fed appropriate amounts and significant weight loss were not substantiated.

Complaint alleged Resident A was abused by staff, improperly transferred causing injury, not fed properly leading to significant weight loss, and had bruises and wounds. The complaint was substantiated in part, specifically regarding staff training and incident reporting deficiencies.

The inspection was conducted in response to an anonymous complaint alleging that medication technicians were not properly trained, resident charts were not updated, and the facility started a staff person prior to fingerprinting and background check results.

The investigation found that medication technicians were properly trained and resident charts were updated and maintained electronically and in binders. However, the facility violated regulations by allowing a staff person to start work prior to receiving fingerprinting and background check results, resulting in termination of that staff person.

The complaint alleged that med techs were not trained, resident charts were not updated, and the facility started Staff Person SP1 prior to fingerprinting and background check results. The first two allegations were not substantiated, but the third was substantiated.

The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing requirements and to determine if the facility meets standards for license renewal.

The facility was found to be non-compliant with tuberculosis screening requirements for residents and employees, specifically failing to provide a required risk assessment and having discrepancies in employee TB screening timing relative to occupational exposure.

The inspection was conducted as part of the original licensing study for Hampton Manor of Holly to determine compliance with applicable licensing statutes and administrative rules for a home for the aged with programs for aged and Alzheimer's disease or related condition care.

The facility was found to be in substantial compliance with licensing requirements, with some initial non-compliance issues identified during the 09/29/2023 on-site inspection, which were subsequently corrected. A temporary generator was approved for use until the main generator, damaged by lightning, is repaired or replaced by 12/01/2023.