Inspection Reports for Home Place of New Bern

1309 McCarthy Blvd, New Bern, NC 28562, United States, NC, 28562

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Deficiencies per Year

8 6 4 2 0
2015
2016
2018
2024
2025
Moderate Unclassified

Census Over Time

54 57 60 63 66 Nov '16 Dec '18 Jun '24
Census Capacity

NC DHSR Star Rating History

DateRatingScoreMeritsDemeritsType
Dec 4, 2025
1001.750Follow-Up Inspection
Aug 25, 2025
98.256.252Follow-Up Inspection
Jun 11, 2025
945.511.5Annual Inspection
Nov 14, 2022
103.53.50Annual Inspection
Mar 26, 2020
105.55.50Annual Inspection
Oct 7, 2016
105.55.50Annual Inspection
Jun 8, 2015
9682Annual Inspection
Nov 17, 2014
91.752.50Follow-Up Inspection
Sep 10, 2014
89.251.2510Follow-Up Inspection
May 2, 2014
983.55.5Annual Inspection
Apr 5, 2013
105.55.50Annual Inspection
Aug 11, 2011
9770Follow-Up Inspection
Jun 25, 2010
9572Annual Inspection
Apr 9, 2010
90.5010Monitoring Visit
Apr 9, 2010
932.50Follow-Up Inspection
May 21, 2009
100.54.54Annual Inspection
Inspection Report Follow-Up Deficiencies: 1 Jul 22, 2025
Visit Reason
The Adult Care Licensure Section conducted a follow-up survey on July 21 and July 22, 2025 to verify correction of a previous Type B medication administration violation.
Findings
The facility failed to administer medications according to provider orders for one sampled resident (#1), who missed three prescribed medications for high blood pressure and elevated heart rate. This failure resulted in the resident being sent to the emergency department with elevated blood pressure and tachycardia. The previous Type B violation was not abated.
Severity Breakdown
Type B Violation: 1
Deficiencies (1)
DescriptionSeverity
Failure to administer medications as ordered to Resident #1, including Losartan, Propranolol, and Verapamil, resulting in missed evening doses and subsequent emergency department visit.Type B Violation
Report Facts
Medication doses missed: 3 Blood pressure reading: 175103 Pulse: 93
Inspection Report Annual Inspection Deficiencies: 5 Apr 23, 2025
Visit Reason
The Adult Care Licensure Section conducted an annual survey of the Homeplace of New Bern facility on 04/22/25 and 04/23/25 to assess compliance with health care regulations.
Findings
The facility failed to ensure proper referral and follow-up for acute health care needs of residents, failed to implement physician orders including medication and therapy, and failed to maintain accurate medication administration records, particularly related to insulin administration and blood sugar monitoring for Resident #1.
Severity Breakdown
Type B: 1
Deficiencies (5)
DescriptionSeverity
Failed to ensure referral and follow-up to meet acute health care needs of residents, including failure to notify cardiologist of high blood pressure and failure to refer for physical therapy.
Failed to implement physician orders for application of compression hose for Resident #1.
Failed to clarify and ensure accurate medication orders for finger stick blood sugars (FSBS) for Resident #1.
Failed to administer medications as ordered for Resident #1, including failure to administer insulin aspart on four occasions when FSBS was above 250 and administration of insulin at bedtime when not ordered.Type B
Failed to maintain an accurate electronic medication administration record (eMAR) including documentation of the amount of insulin administered for Resident #1 on sliding scale insulin.
Report Facts
FSBS readings: 596 FSBS readings: 66 Deficiencies cited: 5
Employees Mentioned
NameTitleContext
Resident Care CoordinatorResident Care Coordinator (RCC)Named in findings related to failure to notify cardiologist and failure to ensure orders were completed.
Health and Wellness DirectorHealth and Wellness Director (HWD)Named in findings related to oversight failures in medication administration, order tracking, and chart audits.
AdministratorFacility AdministratorNamed in findings related to responsibility for oversight of orders and audits.
Medication AideMedication Aide (MA)Named in findings related to medication administration and documentation failures.
Inspection Report Census: 60 Capacity: 60 Deficiencies: 2 Jun 5, 2024
Visit Reason
This is a Construction Section Biennial Survey conducted to assess compliance with the 1996 and 2005 Rules for Licensing of Adult Care Homes and the 1996 North Carolina State Building Code for Institutional Occupancy.
Findings
Deficiencies were noted including failure to maintain electrical outlets in wet locations with ground fault interrupters and failure to maintain fire safety equipment, specifically holes in fire resistant rated ceilings that could allow fire and smoke to spread.
Deficiencies (2)
Description
Electrical outlets in laundry rooms are not GFCI protected near water sources.
Holes drilled through smoke barrier wall/ceiling in the main IT room not properly sealed, compromising fire safety.
Report Facts
Residents served: 60
Inspection Report Census: 60 Capacity: 60 Deficiencies: 6 Dec 6, 2018
Visit Reason
The report documents a biennial construction section survey to assess compliance with physical plant requirements and building safety codes for the Homeplace of New Bern, a licensed adult care home.
Findings
Multiple deficiencies were identified including staff unawareness of emergency release switches, corridor obstructions, improper storage of portable oxygen cylinders, non-functioning smoke detectors, fire doors that do not close or latch properly, and compromised fire-rated walls and ceilings.
Deficiencies (6)
Description
Most staff in the Special Care Unit were not aware of the location, use or existence of the required central emergency release switch for the Special (magnetic) Locking on all the exit doors.
Corridors were not maintained free of obstructions, with wheelchairs, carts, and kitchen carts reducing clear width below required 6 feet.
Building was not maintained safely regarding portable medical oxygen cylinders stored unsecured in rooms 109 and 119.
Corridor smoke detector near the Country Kitchen failed to activate when tested with smoke.
Many corridor doors were prevented from closing quickly and latching, including doors wedged open or blocked, and doors not fitting openings properly to resist passage of smoke.
Required one-hour fire rated walls and ceilings were compromised with holes and penetrations not sealed properly; ceiling damaged in multiple locations in the AL Dining room.
Report Facts
Residents served: 60 Oxygen cylinders improperly stored: 4 Corridor clear width: 1.5 Corridor clear width: 4.25
Inspection Report Census: 60 Capacity: 60 Deficiencies: 2 Nov 22, 2016
Visit Reason
This is a biennial construction section survey to assess compliance with the 1996 and 2005 Rules for Licensing of Adult Care Homes and the 1996 North Carolina State Building Code for Institutional Occupancy.
Findings
The survey found deficiencies related to fire safety and building equipment maintenance, including corridor doors that do not close and latch properly to resist fire and smoke, and an alarm sounding device near room 308 that did not function, potentially allowing resident elopement.
Deficiencies (2)
Description
Some corridor doors are prevented from closing quickly and latching to resist the passage of fire and smoke, including smoke barrier doors and bedroom doors 203 and 309.
The alarm sounding device covering the emergency release switch near room 308 did not sound an alarm when lifted.
Report Facts
Residents served: 60 Residents in SCU: 20
Inspection Report Annual Inspection Deficiencies: 1 May 5, 2015
Visit Reason
The Adult Care Licensure Section conducted an annual survey of the facility from May 5 to May 7, 2015.
Findings
The facility failed to maintain cleanliness in the kitchen, dining, and food storage areas, including unclean walls, shelves, can opener holder, storage bins, reach-in cooler shelves, and floors in the walk-in cooler and freezer. Observations revealed multiple stains, dried substances, and grease in various kitchen areas, and interviews indicated inconsistent cleaning practices by dietary staff.
Deficiencies (1)
Description
Facility failed to assure the walls, shelves, can opener holder, two large plastic storage bins, reach-in cooler shelves, and floors in the walk-in cooler and walk-in freezer floor in the kitchen were cleaned.

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