Inspection Reports for LiveWell @ Brassfield Rd. (North Raleigh)
2100 Brassfield Rd, Raleigh, NC 27614, USA, NC, 27614
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Plan of Correction
Deficiencies: 0
Jun 10, 2025
Visit Reason
The visit was conducted as a Biennial Construction Survey to verify correction of previously cited deficiencies.
Findings
All previously cited deficiencies were noted as being corrected based on the acceptable Plan of Correction and photo documentation received on June 10, 2025. Therefore, no further action is required.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Hickman | Reported on the Plan of Correction and deficiency status. |
Inspection Report
Capacity: 6
Deficiencies: 6
May 8, 2025
Visit Reason
DHSR Construction Section conducted a Biennial Survey to ensure compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the applicable portions of the 2018 North Carolina State Building Code for Small Non-ambulatory Care Facilities.
Findings
Several deficiencies were cited including the presence of secondary door restrictor locks on exit doors, a scatter rug inside the rear door, dirty exhaust fan covers in hallway bathrooms, a loose toilet in the first hallway bathroom, lint buildup behind the dryer, and an unsecured rubber transition mat outside the rear door. Some issues were corrected during the survey visit.
Deficiencies (6)
| Description |
|---|
| Secondary door restrictor locks were observed on the front and rear exit doors. |
| Scatter rug on the floor inside the rear door. |
| Exhaust fan covers in both hallway bathrooms were dirty causing possible improper ventilation. |
| Toilet in the first hallway bathroom was loose at its base causing a possible fall hazard or leak. |
| Build up of lint and debris behind the dryer causing a spark or fire hazard. |
| Rubber transition mat outside the rear door was not secured causing a fall hazard. |
Report Facts
Licensed capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Hickman | Surveyor | Conducted the Biennial Survey and authored the report |
Inspection Report
Annual Inspection
Deficiencies: 4
May 6, 2025
Visit Reason
The Adult Care Licensure Section conducted an annual survey of the facility on May 6, 2025, to assess compliance with state regulations for family care homes.
Findings
The facility was found deficient in multiple areas including failure to ensure two-step tuberculosis testing upon admission for 2 of 3 sampled residents, failure to complete an annual care plan for 1 of 3 sampled residents, failure to complete quarterly Licensed Health Professional Support evaluations for all sampled residents, and failure to verify or clarify PRN medication orders with the primary care provider for all 3 sampled residents.
Deficiencies (4)
| Description |
|---|
| Failed to ensure 2 of 3 sampled residents had a two-step tuberculosis test upon admission. |
| Failed to ensure 1 of 3 sampled residents had an annual care plan completed. |
| Failed to ensure Licensed Health Professional Support evaluations were completed quarterly for 3 of 3 sampled residents. |
| Failed to ensure contact with primary care provider for clarification of PRN medication orders for 3 of 3 sampled residents. |
Report Facts
Sampled residents: 3
Residents with TB test deficiency: 2
Residents with missing annual care plan: 1
Residents with missing LHPS evaluations: 3
Residents with unclarified PRN medication orders: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chief Care Officer | Registered Nurse responsible for ensuring TB testing, care plans, LHPS evaluations, and medication order clarifications. | |
| Medication Aide | Responsible for sending orders to pharmacy and administering medications; acknowledged lack of awareness about incomplete PRN orders. |
Inspection Report
Annual Inspection
Deficiencies: 2
Aug 17, 2023
Visit Reason
The Adult Care Licensure Section conducted an annual survey of Livewell Raleigh on Brassfield Rd on 08/17/23 to assess compliance with state regulations.
Findings
The facility failed to ensure that 2 of 3 sampled residents had a resident assessment completed annually and failed to administer medications as ordered for 2 of 3 medications, including issues with Spiriva Handihaler and Ferrous sulfate administration and documentation.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure 2 of 3 sampled residents had a resident assessment completed annually. |
| Facility failed to administer medications as ordered for 2 of 3 medications, including failure to administer Spiriva Handihaler and continuing administration of Ferrous sulfate after discontinuation. |
Report Facts
Sampled residents: 3
Residents with incomplete assessments: 2
Medications not administered as ordered: 2
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