Inspection Reports for Marion Assisted Living
5235 NC 226 South Marion, NC 28752, Marion, NC, 28752
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
4.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% better than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Follow-Up
Deficiencies: 2
Date: May 20, 2025
Visit Reason
The Adult Licensure Section and McDowell County Department of Social Services conducted a follow-up survey on May 20, 2025 through May 21, 2025 to verify correction of previous deficiencies related to health care referral and follow-up.
Findings
The facility failed to ensure physician notification for two residents: Resident #1 after two vomiting episodes involving dark liquid, and Resident #4 after multiple fingerstick blood sugars (FSBS) readings greater than 350-400 without notifying the primary care provider (PCP). Staff did not follow PCP orders or use the facility's text messaging service to notify the PCP in a timely manner.
Deficiencies (2)
Failure to notify physician for Resident #1 after vomiting episodes of dark liquid.
Failure to notify physician for Resident #4 after multiple FSBS readings above ordered parameters without documentation of notification.
Report Facts
FSBS readings above threshold: 13
Residents sampled: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Personal Care Aide (PCA) | Assisted Resident #1 with feeding and observed vomiting episodes. | |
| Medication Aide (MA) | Responsible for notifying PCP via text messaging service; failed to notify PCP after Resident #1's vomiting episode and Resident #4's high FSBS readings. | |
| Resident Care Coordinator (RCC) | Instructed MAs to notify PCP using text messaging service. | |
| Business Office Manager (BOM) | Discovered failure to notify PCP of Resident #4's FSBS readings and confirmed responsibility of MAs to notify PCP. | |
| Administrator | Confirmed expectations for staff to notify PCP immediately and use text messaging service. | |
| Primary Care Physician (PCP) for Resident #1 | Ordered tests and instructed staff to notify if vomiting episodes recurred. | |
| Primary Care Physician (PCP) for Resident #4 | Changed FSBS notification parameters and expected staff notification for high FSBS and symptomatic residents. |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Mar 12, 2025
Visit Reason
The Adult Care Licensure Section and the McDowell County Department of Social Services completed an annual survey from 03/11/25 to 03/12/25.
Findings
The facility failed to ensure tuberculosis testing compliance for one resident, failed to notify physicians regarding medication issues for three residents, and failed to serve physician-ordered therapeutic diets for two residents. Additionally, medication administration records were inaccurate for two residents, and medications were not administered as ordered for three residents, placing residents at substantial risk for serious physical harm.
Deficiencies (5)
Failed to ensure 1 of 5 sampled residents were tested for tuberculosis disease in compliance with control measures.
Failed to ensure physician notification for 3 of 5 sampled residents related to medication issues including elevated potassium, high blood sugars, and medication hold orders.
Failed to serve physician ordered therapeutic diets related to pureed diets with nectar thickened liquids for 2 of 5 sampled residents.
Failed to ensure medications were administered as ordered for 3 of 5 sampled residents related to medications for elevated potassium, urinary tract infection, and COVID-19 treatment.
Failed to ensure electronic medication administration records were accurate for 2 of 5 sampled residents related to failure to accurately document administration of medication used to treat high potassium and an antibiotic.
Report Facts
Residents sampled: 5
Missed doses of lokelma: 9
Potassium level: 5.3
FSBS > 300: 14
Missed doses of cefadroxil: 10
Paxlovid doses not administered: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator | Interviewed regarding tuberculosis testing, medication administration, and notification responsibilities | |
| Administrator | Interviewed regarding facility operations and awareness of deficiencies | |
| Business Office Manager | Interviewed regarding medication audits and notification processes | |
| Pharmacist | Interviewed regarding medication orders, prior authorizations, and pharmacy communications | |
| Primary Care Provider | Interviewed regarding clinical expectations and concerns for residents #1, #2, and #5 | |
| Medication Aide | Interviewed regarding medication administration practices and documentation | |
| Cook | Interviewed regarding meal preparation and therapeutic diet adherence | |
| Registered Dietitian | Interviewed regarding diet menus and therapeutic diet requirements |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Oct 19, 2022
Visit Reason
The Adult Care Licensure Section conducted an annual survey from 10/18/22 to 10/19/22 at McDowell Assisted Living.
Findings
The facility failed to ensure medications were administered as ordered by a licensed prescriber for one of five sampled residents (#4), specifically related to levothyroxine medication orders. Resident #4 was administered both the discontinued 125mcg dose and the ordered 100mcg dose of levothyroxine from 09/23/22 to 10/18/22.
Deficiencies (1)
Failure to ensure medications were administered as ordered by a licensed prescriber for Resident #4 related to levothyroxine dosing errors.
Report Facts
Medication tablets remaining: 1
Medication cycle fill supply: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident #4 | Resident | Subject of medication administration error involving levothyroxine. |
| Resident Care Coordinator | RCC | Responsible for faxing medication orders to pharmacy and conducting medication cart audits. |
| Medication Aide | MA | Administered medications and documented administration; unaware of medication error. |
| Primary Care Provider | PCP | Wrote medication orders and was notified of medication error; ordered lab tests. |
| Administrator | Administrator | Oversaw facility operations; expected medication administration as ordered. |
Inspection Report
Capacity: 54
Deficiencies: 5
Date: Aug 15, 2019
Visit Reason
The visit was a Construction Section Biennial Survey conducted to ensure the facility meets the 1967 NC State Building Code, the 1971 Minimum and Desired Standards and Regulations for Homes for the Aged and Infirm, and applicable portions of the current Rules for Adult Care Homes of Seven or More Beds.
Findings
Deficiencies were cited related to housekeeping hazards, fire safety rehearsal recordkeeping, and maintenance of building equipment including plumbing, electrical, and fire safety systems. Specific issues included unsecured oxygen bottles, incomplete fire drill descriptions, plumbing defects, electrical outlet hazards, and unsealed fire-resistant penetrations.
Deficiencies (5)
Oxygen bottles without any means of restraint to prevent them from falling or being knocked over.
Fire drill rehearsal records did not provide a short description of what the rehearsal involved.
Plumbing equipment not maintained in a safe and operating condition, including missing shower control piece, fallen pressure relief valve on hot water heater, and leaking electric water cooler.
Electrical outlet in Room 3 not secure with scorch marks around plugs.
Unsealed cable penetration in the corridor wall over the door in the Med Room allowing potential fire and smoke spread.
Report Facts
Total licensed capacity: 54
Inspection Report
Capacity: 54
Deficiencies: 5
Date: Jun 22, 2017
Visit Reason
The visit was a Construction Section Biennial Survey to ensure the facility meets applicable building codes and adult care home regulations.
Findings
The survey found multiple deficiencies including lack of hand grips in bathrooms, unsafe handling of portable medical oxygen cylinders, inadequate fire safety rehearsal documentation, corridor doors not closing and latching properly to resist fire and smoke, and missing electrical outlet receptacle plates.
Deficiencies (5)
No hand grip provided at the tub in the shower room on the left on the women's hall.
Portable medical oxygen cylinder stored without container or rack in storage room beside room 5, posing a hazard.
Records of fire safety rehearsals included little to no description of what the rehearsal involved.
Corridor doors prevented from closing quickly and latching, including smoke barrier doors and bedroom doors 3, 8, and 9.
Missing receptacle plate on an electrical outlet at the water cooler in the corridor exposing energized parts and wires.
Report Facts
Licensed capacity: 54
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Sep 27, 2016
Visit Reason
The Adult Care Licensure Section conducted an annual survey, a follow-up survey, and a complaint investigation on September 27-29, 2016 with an exit by telephone on September 30, 2016.
Complaint Details
The inspection included a complaint investigation as part of the visit on September 27-29, 2016.
Findings
The facility failed to assure residents were served a minimum of three nutritionally adequate, palatable meals per day, failed to provide a minimum of 14 hours of planned group activities per week, failed to assure residents had the opportunity to participate in at least one outing every other month, failed to treat residents with respect and dignity regarding birthday outings and work opportunities, and failed to assure medications were administered as ordered for one resident.
Deficiencies (6)
Facility failed to assure residents were served a minimum of three nutritionally adequate, palatable meals per day.
Facility failed to assure a minimum of 14 hours of planned group activities were provided each week.
Facility failed to assure that each resident had the opportunity to participate in at least one outing every other month.
Facility failed to assure each resident was treated with respect and dignity by not taking all residents who shared a birthday in the month out to dinner that wanted to go and to assure residents were treated with respect and dignity by providing 13 of the 49 residents with work opportunities for which they were not given fair or equitable compensation for work completed that benefited the facility.
Facility failed to assure medications were administered as ordered by the licensed prescribing practitioner for 1 of 1 sampled residents related to the administration of eye drops.
Facility failed to assure the Medication Administration Records were accurate for 1 of 1 sampled residents regarding Diclofenac and Prednisolone eye drops.
Report Facts
Residents with work opportunities: 13
Residents interviewed: 21
Resident birthdays noted: 9
Medication administration frequency: 4
Inspection Report
Life Safety
Capacity: 54
Deficiencies: 6
Date: Jun 25, 2015
Visit Reason
The visit was conducted as a Biennial Construction Survey to ensure the facility meets the 1967 NC State Building Code, the 1971 Minimum and Desired Standards and Regulations for Homes for the Aged, and applicable portions of the current Rules for Adult Care Homes of Seven or More Beds.
Findings
The facility was found to have deficiencies including missing current sanitation and fire safety inspection reports, a corridor door that would not close and latch properly, a clogged relief pipe on a water heater, fire extinguishers not inspected monthly, and improper electrical connections exposing wires. Corrective actions were documented and dated.
Deficiencies (6)
Missing required annual fire alarm system inspection report.
Missing required annual sanitation inspection report for the building.
Corridor door to room 7 would not close and latch due to sagging.
Clogged relief pipe on water heater causing unsafe condition.
Fire extinguishers had not been inspected monthly as required.
Electrical connections to battery operated emergency light in corridor near laundry were exposed and not done in approved junction box.
Report Facts
Total licensed beds: 54
Number of UL approved fire extinguishers: 5
Fire rating of walls and partitions: 1
Fire rating of ceilings: 1
Fire rating of furnace room walls and ceilings: 1
Number of approved type fire escapes: 5
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Nov 19, 2014
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey on November 19 and 20, 2014 to assess compliance with regulations.
Findings
The facility failed to maintain hot water temperatures at a minimum of 100 degrees F in 6 of 10 fixtures sampled. Observations and interviews revealed low hot water temperatures in several sinks and tubs, with corrective actions underway during the survey.
Deficiencies (1)
Facility failed to assure hot water temperatures were maintained at a minimum temperature of 100 degrees F in 6 of 10 fixtures sampled and available for use by residents.
Report Facts
Fixtures with low hot water temperature: 6
Fixtures sampled: 10
Water temperature range: 76
Water temperature range: 86
Water temperature range: 102
Water temperature range: 110
Water temperature checks: 6
Water temperature range: 102.4
Water temperature range: 106.9
Water temperature range: 101
Water temperature range: 106.4
Water temperature range: 103.7
Water temperature range: 107.4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator | Interviewed and unaware of low hot water temperatures | |
| Administrator | Interviewed regarding repairs and water temperature issues |
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