Inspection Reports for Lynn’s Care Homes At Riverside LLC

The visit was conducted as a Biennial Construction Survey to verify correction of previously cited deficiencies.

All previously cited deficiencies were noted as corrected based on acceptable Plan of Corrections and photo documentation; therefore, no further action was required.

DHSR Construction Section conducted a Biennial Survey to assess compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the 2009 North Carolina State Building Code for Residential Care Homes.

The survey identified multiple deficiencies including an improper ramp transition at the back entrance, insufficient clearance from sprinkler heads, wall damage in the left hall bath, and a drop off at the back patio. The facility was required to submit an acceptable plan of correction for these issues.

The Adult Care Licensure Section conducted a follow-up survey to assess compliance with building code requirements and care for non-ambulatory residents.

The facility failed to meet North Carolina State Building Code requirements for non-ambulatory residents, as all five residents were physically and/or cognitively impaired and unable to evacuate independently. The facility was licensed for six ambulatory residents and had five residents present during the visit. The sprinkler system installation was incomplete but in progress, with an extension granted by the state construction unit.

The Adult Care Licensure Section and Construction Section conducted a follow-up survey on April 26-27, 2018 to assess compliance with capacity and evacuation capability regulations.

The facility failed to notify the Division of Health Service Regulation that the residents' evacuation capabilities were different from those listed on the home's license for 5 of 5 residents with cognitive and/or physical impairments, constituting an unabated Type B violation. Observations revealed no sprinkler system installed, smoke detectors present, and fire drills conducted with residents showing confusion and needing assistance during evacuation.

The Division of Health Service Regulation conducted a Biennial Follow-up Survey to verify correction of previously cited deficiencies and to identify any new deficiencies at Lynn's Home at Riverside.

Not all previously cited deficiencies were corrected and new deficiencies were identified, including the facility not meeting building code requirements for non-ambulatory residents and exit doors not operable by a single hand motion without keys.

DHSR Construction Section conducted a Biennial Survey to ensure compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the 2009 North Carolina State Building Code for Residential Care Homes.

The facility was licensed for six ambulatory residents but had two non-ambulatory residents at the time of the survey. The building does not meet the North Carolina State Building Code requirements for non-ambulatory residents, requiring a plan of correction.

The Adult Care Licensure Section and the Wake County Department of Social Services conducted an annual survey of Lynn's Home at Riverside on December 12, 2017.

The facility failed to notify the Division of Health Service Regulation (DHSR) that the evacuation capabilities of all six residents differed from those listed on the home's license, which was for ambulatory residents only. All six residents had cognitive and/or physical impairments requiring assistance for evacuation, posing a safety risk. The facility planned to add an extra night staff member and install a sprinkler system by March 2018 to address these issues.

DHSR Construction Section conducted a Biennial Survey to ensure compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the 2009 Edition of the North Carolina State Building Code - Section 421.2 - Residential Care Homes.

Deficiencies were cited related to building equipment maintenance, including an open electrical outlet in the laundry area and several penetrations in the water heater closet wall, requiring repairs by a qualified technician.