Inspection Reports for Meadowview Terrace of Wadesboro
123 Anson High School Road Wadesboro, NC 28170, Wadesboro, NC, 28170
Back to Facility ProfileDeficiencies (last 8 years)
Deficiencies (over 8 years)
9.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
79% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
50 residents
Based on a December 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Deficiencies: 2
Date: Mar 6, 2025
Visit Reason
The Adult Care Licensure Section and Anson County Department of Social Services conducted a follow-up survey on March 5-6, 2025 to verify correction of previous deficiencies.
Findings
The facility failed to ensure accurate medication administration records for one of six sampled residents related to a medication used to prevent or treat blood clots. Additionally, the facility failed to ensure infection control measures during medication administration, as a medication aide handled oral medication with ungloved hands.
Deficiencies (2)
Medication administration records were inaccurate for Resident #6, as Eliquis 5mg was administered but not documented on the electronic medication administration record (eMAR).
Medication aide handled a resident's oral medication with ungloved hands during preparation, risking contamination.
Report Facts
Sampled residents: 6
Tablets in medication cup: 16
Eliquis 5mg tablets in blister packs: 3
Eliquis 5mg tablets in blister packs: 4
Medication orders for Eliquis: 3
Inspection Report
Annual Inspection
Census: 50
Deficiencies: 11
Date: Dec 19, 2024
Visit Reason
The Adult Care Licensure Section conducted an annual survey of Meadowview Terrace of Wadesboro from December 17-19, 2024.
Findings
The facility had multiple deficiencies including physical environment issues such as flashing bathroom lights and unfinished spa bathroom floor drains, safety concerns with the kitchen exit door and non-working garbage disposal, inadequate water temperatures in residents' bathrooms, medication administration and documentation errors, missing Health Care Personnel Registry verifications for medication aides, ice machine not working for over 6 months, and failure to maintain accurate medication administration records.
Deficiencies (11)
Facility failed to assure lighting in 6 shared residents' bathrooms were in good repair as evidenced by bathroom vanity lights flashing causing a strobe light effect.
Facility failed to ensure floors were in good repair as evidenced by missing drain flanges in two spa bathrooms with jagged tile edges and tripping hazards.
Facility failed to ensure the kitchen exit door was in safe and operating condition; door was ajar, rusted, misaligned, and could not be securely closed or locked.
Facility failed to ensure the garbage disposal was in good repair and operating condition; disposal was not working and had food particles and foul odor.
Facility failed to ensure water temperatures were maintained between 100 and 116 degrees Fahrenheit in residents' bathrooms; 7 of 8 fixtures had temperatures ranging from 62.2 to 98.4 degrees F causing residents to have cold water for bathing and handwashing.
Facility failed to ensure 1 of 3 sampled medication aides had passed the state medication administration exam within 60 days of clinical skills validation before administering medications.
Facility failed to verify Health Care Personnel Registry status for 3 of 3 sampled medication aides prior to or on their hire date.
Facility failed to ensure foods were free from contamination related to ice buildup in the walk-in freezer; large ice mounds and buildup on floor and shelves posed contamination and safety risks.
Facility failed to ensure resident rights were maintained by not responding to reasonable requests for ice due to the ice machine being broken for over 6 months.
Facility failed to administer medications as ordered for 2 of 4 residents observed during medication pass and 1 of 5 residents for record review, including failure to prime insulin pen, improper inhaler administration, administering medication despite blood pressure parameters, and administering discontinued medications.
Facility failed to ensure medication administration records were accurate for 2 of 6 sampled residents related to blood sugar medication and arthritis pain medication, including failure to hold medication per blood pressure parameters and failure to discontinue medication orders.
Report Facts
Residents present: 50
Medication error rate: 7
Number of shared bathrooms with flashing lights: 6
Number of fixtures with low water temperature: 7
Ice buildup depth: 8
Ice buildup length: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Medication Aide | Administered medications without passing state medication administration exam within 60 days; failed to instruct resident to rinse mouth after inhaler use |
| Staff B | Medication Aide | No Health Care Personnel Registry verification prior to hire date |
| Staff A | Medication Aide | No Health Care Personnel Registry verification prior to hire date |
| Maintenance Director | Aware of flashing lights, contacted contracted company; aware of kitchen exit door disrepair and garbage disposal issues; reported water temperature issues; aware of ice buildup in freezer | |
| Regional Maintenance Manager | Notified of flashing lights and water temperature issues; involved in water heater inspection and repair; aware of ice buildup and freezer repair needs | |
| Administrator | Aware of flashing lights, kitchen door and garbage disposal issues, water temperature problems, ice machine broken, medication aide training and documentation deficiencies, and medication administration errors | |
| Dietary Manager | Reported kitchen freezer pipe leak and ice buildup; reported ice machine issues and purchasing ice for residents | |
| Resident Care Coordinator | Responsible for medication aide training oversight and medication order management; reported medication administration issues |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Dec 3, 2024
Visit Reason
This report documents a Construction Section Biennial Follow Up Survey conducted to verify correction of previously identified deficiencies.
Findings
Deficiencies identified in prior inspections have been corrected. No further action is necessary.
Inspection Report
Follow-Up
Deficiencies: 4
Date: Feb 15, 2024
Visit Reason
This was a Biennial Follow Up Construction Survey to verify correction of deficiencies from the previous Biennial Construction Survey and to identify any new deficiencies.
Findings
The facility had unresolved deficiencies from the prior Biennial Construction Survey and several new deficiencies were cited, including lack of current sanitation and fire safety inspection reports, floors and ceilings not kept in good repair, and the presence of prohibited portable electric heaters.
Deficiencies (4)
Facility did not have current sanitation and fire and building safety inspection reports maintained in the home and available for review; no records indicating sprinkler system inspection.
Floors were not kept in good repair; laminated plank flooring lifting at joints in corridor with tape applied to mitigate tripping hazards.
Ceilings were not kept in good repair; constant drip eroded hole in ceiling and larger hole in wall in Exterior Mechanical Room; pipe not firestopped penetrating fire-resistance-rated ceiling assembly.
Use of portable electric heaters prohibited; a portable electric heater was found in the facility.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Mentioned in relation to finding of portable electric heater in the facility. | |
| Ed Miller | Surveyor who conducted the Biennial Follow Up Construction Survey. |
Inspection Report
Follow-Up
Deficiencies: 5
Date: Jul 25, 2023
Visit Reason
This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies and to identify any new deficiencies.
Findings
The facility had outstanding deficiencies from the prior Biennial Construction Survey and a new deficiency was cited. Deficiencies included lack of current sanitation and fire safety inspection reports, broken glass in a front door, floors not kept in good repair with buckling concrete slab and lifting plank flooring, failure to maintain fire safety systems with improper sealing of penetrations, and inadequate exhaust ventilation in specified spaces.
Deficiencies (5)
Facility did not have current sanitation and fire and building safety inspection reports maintained in the home and available for review.
Broken glass in one of the front doors covered with cardboard until repair.
Floors not kept in good repair; concrete slab buckling and plank flooring lifting at joints in main corridor.
Failure to maintain building's fire safety systems; holes or gaps at penetrations through fire resistant rated ceilings sealed with unacceptable yellow foam material.
Facility did not maintain exhaust ventilation in specified spaces; radiation damper on exhaust in Room 111 Bath was closed.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Aug 11, 2020
Visit Reason
The Adult Care Licensure Section conducted a Complaint Investigation via off-site desk review and no COVID-19 focused Infection Control survey on July 30-31, 2020 and August 3-7 and 10-11, 2020.
Complaint Details
The complaint investigation found that Resident #1 was left outside unsupervised for over 3 hours, resulting in serious physical harm including heat stroke and blisters. The resident was cognitively impaired and required supervision. The facility staff failed to monitor the resident adequately, and the resident died shortly after being transferred to hospice.
Findings
The facility failed to provide supervision for 1 of 5 sampled residents with dementia who was left outside unsupervised in the sun for 3 to 4 hours, resulting in heat stroke, blisters, and ultimately death. The resident was found unresponsive with a rectal temperature of 107 degrees F. The facility lacked a policy on how long residents could stay outside and failed to check on the resident every two hours as required.
Deficiencies (2)
Failed to ensure supervision for 1 of 5 sampled residents with dementia who was left outside unsupervised in the sun for 3 to 4 hours resulting in heat stroke.
Failed to assure each resident was free of neglect related to supervision.
Report Facts
Duration resident left outside unsupervised: 3.43
Resident rectal temperature: 107
Resident pulse: 110
Temperature high on 07/26/20: 92
Resident sample size: 5
Inspection Report
Capacity: 60
Deficiencies: 15
Date: Aug 22, 2019
Visit Reason
The inspection was a Construction Section Biennial Survey conducted to ensure the facility meets the 1996 Minimum and Desired Standards and Regulations for Homes for the Aged and Disabled, the 2005 Rules for Adult Care Home of Seven or More Beds, and the 2002 North Carolina State Building Code, Section 409-Institutional Occupancy-Group I-2.
Findings
Multiple deficiencies were cited including failure to maintain current sanitation and fire safety inspection reports, housekeeping issues such as unclean and damaged walls and floors, unsafe storage of oxygen cylinders, improper posting of fire evacuation plans, lack of regular fire safety rehearsals, electrical outlets without ground fault protection, unsafe building equipment and fire safety issues including non-operational doors and firestopping deficiencies, inadequate maintenance of the electrical system and fire suppression system, obstructed fire sprinkler heads, and failure to maintain required exhaust ventilation systems.
Deficiencies (15)
Facility failed to maintain current annual fire and building safety inspection reports.
Walls and floors not kept clean and in good repair; stained carpets and glue oozing between floor tiles.
Oxygen cylinders stored improperly, not secured, posing hazard if they fall.
Fire evacuation plans improperly posted and not maintained, maps not corresponding to actual floor layout.
Fire safety rehearsals not performed regularly; no documentation for last 12 months.
Electrical outlets in wet locations lack ground fault interrupters.
Building doors in path of egress not maintained properly; some doors do not release or latch as required.
Fire-rated doors in hazardous areas do not latch properly, compromising fire and smoke resistance.
Fire safety compromised by unsealed penetrations in fire-resistance-rated ceiling assemblies.
Electrical system not maintained safely; GFCI outlet without power, blocked electrical panel access, improper use of multiple plug adaptor.
Commercial kitchen hood fire suppression system lacked required semi-annual maintenance and monthly inspections.
Fire sprinkler heads obstructed by stored items, reducing effectiveness.
Smoke tight corridor doors not maintained; some doors do not latch properly or are blocked open by unapproved devices.
Ice machine drain line developing mold or fungus growth, risking contamination.
Exhaust ventilation system failed to maintain mechanical exhaust in required rooms; only one of required systems working.
Report Facts
Licensed capacity: 60
Inspection Report
Follow-Up
Census: 58
Deficiencies: 7
Date: Jul 26, 2019
Visit Reason
The Adult Care Licensure Section and Anson County Department of Social Services conducted a follow up survey and complaint investigation on July 23 - 26, 2019.
Complaint Details
The survey included a complaint investigation related to health care referral and follow up, medication administration errors, and facility management.
Findings
The facility failed to assure health care referral and follow up to meet the acute health care needs of 3 sampled residents, failed to administer medications as ordered for multiple residents including insulin errors, failed to administer medications within one hour before or after scheduled times for 13 residents, failed to maintain clean kitchen and food storage areas, and failed to clarify diet orders for a resident with dysphagia. The Administrator failed to assure overall management and compliance with regulations.
Deficiencies (7)
Failed to assure health care referral and follow up to meet acute health care needs of Residents #1, #2, and #3 including failure to notify Resident #1's PCP of high blood pressure readings; Resident #2's provider who ordered psychiatric consult; and Resident #3's provider who ordered valproic acid blood level and speech therapy consult.
Failed to administer medications as ordered for Residents #6, #7, #8 including insulin errors, missed antifungal, and incorrect eye drops; and for Residents #1, #2, #3, #6 for medication errors including insulin, blood pressure medication, anxiety and depression medications.
Failed to administer medications within one hour before or after scheduled times for 13 residents during morning medication pass on 07/25/19, resulting in medications being administered too close to next scheduled times; Resident #3's rapid-acting insulin was administered late.
Failed to maintain kitchen and food storage areas clean and free of contamination.
Failed to clarify diet orders for Resident #3 with history of dysphagia for consistency of food and liquids.
Failed to assure accurate documentation of medication administration including sliding scale insulin, oral diabetes medication, and allergy medications for Resident #3.
Administrator failed to assure overall management, operations, policies and procedures to maintain substantial compliance with rules and statutes governing adult care homes related to health care, medication administration and nutrition and food services.
Report Facts
Medication error rate: 11
Residents present: 58
Residents on 100 hall: 28
Residents on 200 hall: 29
Medication administration delay: 35
Medication administration delay: 120
Medication administration delay: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Resident Care | Director of Resident Care | Responsible for approving physician orders, monitoring medication administration, and managing medication errors |
| Executive Director | Executive Director | Responsible for assuring medication orders were transcribed and administered as ordered |
| Medication Aide | Medication Aide | Involved in medication administration errors including insulin administration and documentation |
| Pharmacy Technician | Pharmacy Technician | Provided information on medication orders and refill issues |
| Front-End Manager | Pharmacy Front-End Manager | Provided information on pharmacy communication and medication order processing |
Inspection Report
Capacity: 60
Deficiencies: 5
Date: Oct 5, 2017
Visit Reason
This is a Construction Section Biennial Survey conducted to ensure the facility meets the 1996 Minimum and Desired Standards and Regulations for Homes for the Aged and Disabled, the 2005 Rules for Adult Care Home of Seven or More Beds, and the 2002 North Carolina State Building Code.
Findings
The facility was found to have multiple deficiencies including failure to maintain HVAC systems, ceiling construction and finishes in good repair, fire safety equipment in operating condition, emergency lighting, fire protection of electrical penetrations, and proper exhaust ventilation and cleaning of HVAC air-distribution vents.
Deficiencies (5)
Facility failed to maintain HVAC systems and components in good condition; refrigerant lines have decomposing or no insulation.
Facility failed to maintain ceiling construction and finishes in good repair; joint tape failing at ridge point of cathedral ceiling and ceiling penetration adjacent to sprinkler head.
Facility failed to maintain fire safety equipment in operating condition; sprinkler riser pressure gauge showed no pressure, supply valve off, emergency wall light #5 did not illuminate, and electrical penetrations not sealed for fire protection.
Facility failed to provide exhaust ventilation where odors are generated; mechanical exhaust fans not exhausting interior air in janitor's closet and kitchen/chemical storage closet.
Facility failed to maintain service and cleaning of HVAC air-distribution vents; excessive particulate build-up on return-air grilles in resident bathrooms, corridors, and make-up supply air wall grilles.
Report Facts
Licensed capacity: 60
Inspection Report
Follow-Up
Deficiencies: 1
Date: Sep 16, 2016
Visit Reason
The visit was a follow-up survey conducted to verify correction of deficiencies noted during the Biennial Survey on 06/23/2016.
Findings
The facility failed to maintain the building, walls, ceilings, and floors in good repair and clean. Observations included stained corridor carpets throughout the facility and badly stained, worn finish on most resident private bathroom tiles.
Deficiencies (1)
Facility failed to maintain building, walls, ceilings, and floors in good repair and clean, including stained corridor carpets and badly stained, worn bathroom tiles.
Inspection Report
Follow-Up
Deficiencies: 2
Date: Jun 23, 2016
Visit Reason
The visit was a Follow-Up Construction Survey to verify correction of previously cited deficiencies.
Findings
The facility failed to maintain the building, including walls, ceilings, floors, and furnishings, in good repair and clean. There were stained corridor carpets in multiple areas, badly stained and worn tile in resident bathrooms, and several resident rooms had distinct odors of urine.
Deficiencies (2)
Facility failed to maintain building, walls, ceilings, and floors in good repair and clean, including stained corridor carpets and badly stained bathroom tile.
Facility failed to maintain the building free of odors, with distinct urine odors noted in several resident rooms including Room 123.
Inspection Report
Follow-Up
Deficiencies: 4
Date: Feb 3, 2016
Visit Reason
The visit was a Follow-Up Construction Survey to assess whether deficiencies cited during the Biennial Construction Survey had been satisfactorily corrected.
Findings
The facility failed to maintain the building in good repair and clean condition, with stained carpets, damaged ceilings, and stained bathroom tiles. There were also issues with odors in several resident rooms and bathrooms, plumbing systems lacking vacuum breakers on hose attachments, and mechanical exhaust systems not functioning properly, including non-operating exhaust fans in resident rooms.
Deficiencies (4)
Facility failed to maintain building, walls, ceilings, and floors in good repair and clean, including stained corridor carpets and damaged ceilings.
Facility failed to maintain the building free of odors, with distinct urine odors in several resident rooms and bathrooms.
Facility failed to maintain plumbing system safe and operating; sinks equipped with hose attachments lacked vacuum breakers.
Facility failed to maintain mechanical exhaust systems in working condition; exhaust fans in resident rooms not operating.
Inspection Report
Capacity: 60
Deficiencies: 15
Date: Oct 13, 2015
Visit Reason
This is a Biennial Construction Survey conducted to assess compliance with the 1996 Minimum and Desired Standards and Regulations for Homes for the Aged and Disabled, the 2005 Rules for Adult Care Home of Seven or More Beds, and the 2002 North Carolina State Building Code, Section 409 - Institutional Occupancy Group I-2.
Findings
The facility failed to maintain the physical plant in good repair and clean condition, including stained carpets, damaged walls and ceilings, broken fixtures, and odors in resident rooms. The facility also failed to maintain safe furniture, proper air gaps at the ice machine, support for oxygen containers, fire resistance of building components, electrical and plumbing systems, and mechanical exhaust systems.
Deficiencies (15)
Corridor carpet throughout the facility is stained.
Corridor walls patched but no finish paint applied; walls and door trim scratched and scarred.
Resident private bathrooms have badly stained tile with worn finish.
Ceiling of Activities Room has a large water stain; ceilings in 100 and 200 Hall Spas are damaged.
HVAC return and exhaust grilles and radiation dampers coated with dust and lint.
Toilet paper dispenser in Resident Room 220 is broken with missing roller.
Sofas in both Living Rooms have loose and wobbly legs.
Several resident rooms have distinct odor of urine.
Ice machine drain pipe extends into floor drain, failing to maintain appropriate air gap.
Oxygen containers lack proper support, including an unsupported bottle in Resident Room 220.
Doors propped open with furniture and wedges, failing to maintain doors that close easily in emergencies.
Fire resistance of building components not maintained; unsealed penetrations around cables and conduits in Water Heater Room ceiling.
Electrical system unsafe: missing damp protection cover on walk-in freezer light fixture; emergency lights #18 and #14 do not illuminate on battery.
Plumbing system unsafe: sinks equipped with hose attachments lacking vacuum breakers in Beauty Shop, 100 Hall Spa tub, and 200 Hall Spa tub; loose plastic shelf used as toilet tank cover in 200 Hall Spa.
Mechanical exhaust systems not maintained: exhaust fan in Beauty Shop and fans in Resident Rooms 200 and 201 not operating.
Report Facts
Licensed capacity: 60
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Sep 2, 2015
Visit Reason
The Adult Care Licensure Section and the Anson County Department of Social Services conducted an annual survey on September 2 and September 3, 2015.
Findings
The facility failed to assure therapeutic diets for nectar thickened liquids were served as ordered by the physician for 2 of 2 sampled residents (Residents #2 and #5). Observations and interviews revealed inconsistencies in preparation and serving of nectar thickened liquids, including incorrect coffee preparation and lack of staff training on proper thickened liquid preparation.
Deficiencies (1)
Failed to assure therapeutic diets for nectar thickened liquids were served as ordered by the physician for 2 of 2 sampled residents.
Report Facts
Date of survey: Sep 2, 2015
Fluid ounces for coffee preparation: 6
Fluid ounces of coffee creamer: 0.375
Meal observation times: 55
Meal observation times: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director | Interviewed regarding diet orders, preparation of thickened liquids, and coffee preparation | |
| Resident Care Director (RCD) | Interviewed regarding resident care and diet orders | |
| Licensed Health Professional Support (LHPS) nurse | Interviewed regarding resident swallowing issues and staff training | |
| Administrator and Regional Administrator | Interviewed regarding notification of physician and staff training plans | |
| Nurse Aides (NAs) | Interviewed regarding preparation and serving of thickened liquids and resident feeding |
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