Inspection Reports for Merrywood on Park

The facility was surveyed for conformance with the 1991 Rules for Licensing of Adult Care Homes of Seven or More Beds, applicable portions of the 2025 Rules for Licensing of Adult Care Homes, and the 1991 Edition of the North Carolina Building Code, Institutional Occupancy, as part of a Construction Section Biennial Survey.

Multiple deficiencies were cited including unsafe and unmaintained outside premises, poor housekeeping with dust accumulation and damaged doors, trip hazards at exit doors, incomplete fire drill documentation, failure of fire safety equipment to operate properly, electrical safety issues, gaps in fire resistant ceilings, obstructed sprinkler heads, and lack of required exhaust ventilation in several areas.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual and follow-up survey on 10/15/2024.

The facility failed to ensure a yearly resident assessment was completed for 1 of 3 sampled residents and failed to ensure quarterly licensed health professional support evaluations were completed for 1 of 3 sampled residents with LHPS tasks.

The Adult Care Licensure Section and Mecklenburg County Department of Social Services conducted a complaint investigation from 02/21/23 to 02/23/23, initiated by a complaint on 01/05/23.

The facility failed to ensure staff had completed required Health Care Personnel Registry (HCPR) checks prior to hire, failed to have staff trained in CPR on duty at all times, left residents unattended for six hours during third shift, and failed to provide personal care and supervision to residents requiring assistance, resulting in serious neglect. Additionally, the facility failed to report abandonment and neglect incidents to the HCPR within required timeframes.

Complaint investigation initiated by Mecklenburg County Department of Social Services on 01/05/23 regarding staff qualifications, CPR training, staffing shortages, resident neglect, and failure to report incidents to HCPR.

The Adult Care Licensure Section and the Mecklenburg County DSS conducted an annual and follow-up survey on January 26-27, 2022.

The facility failed to administer medications as ordered by a licensed prescribing practitioner for 1 of 3 sampled residents related to medications used to treat hypertension. Specifically, blood pressure medications were administered to Resident #2 when systolic blood pressure or heart rate readings were below the prescribed parameters on four occasions in December 2021.

Biennial Follow Up Construction Survey conducted to verify correction of previously identified deficiencies related to building and fire safety.

Some deficiencies were not corrected, including incomplete fire sprinkler protection, fire safety issues with corridor doors wedged open or propped, gaps in fire-resistance-rated ceiling penetrations, and failure of the ventilation system in the trash room.

The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds, the 1991 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure, and applicable portions of the 1991 Edition of the North Carolina Building Code, Institutional Occupancy.

Multiple deficiencies were cited including failure to have all required areas protected with sprinklers, lack of current annual fire alarm inspection reports, unsafe storage of oxygen cylinders, incomplete fire safety rehearsals, unsafe plumbing and electrical equipment, fire safety issues with sprinkler escutcheon plates, and inadequate ventilation in certain areas.

The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds, the 1991 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure, and applicable portions of the 1991 Edition of the North Carolina Building Code, Institutional Occupancy. This was a Biennial Construction Survey.

The survey identified multiple deficiencies including unpleasant odors in one apartment bathroom, compromised ceiling repairs affecting fire safety, unsafe floor conditions, malfunctioning life safety equipment such as exit signs and emergency lights, doors not operating properly, hot water temperature exceeding limits in one room, and non-functioning mechanical exhaust ventilation in three locations.

The Adult Care Licensure Section conducted a follow-up survey to verify compliance with medication aide training requirements.

The facility failed to ensure that 3 sampled Medication Aides hired after 10/1/13 had completed the required 15-hour medication administration training prior to administering medications. Documentation of required training and employment verification was missing for all three staff.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey on September 2, 2015 with an exit conference on September 4, 2015.

The facility failed to assure competency validation by a registered nurse for staff performing Licensed Health Professional Support (LHPS) tasks including application of TED hose, Tuba-grip stockings, and oxygen administration for multiple residents. Additionally, the facility failed to document treatments and implementation of physician orders for these tasks for several residents, and did not complete required LHPS assessments or evaluations. Oxygen equipment maintenance and resident care documentation were also inadequate.

This is a biennial construction survey conducted to ensure the facility meets the 1991 Rules for the Licensing of Adult Care Homes, applicable portions of the 2005 Regulations for Adult Care Homes, and the 1991 Edition of the North Carolina State Building Code.

The facility failed to maintain fire safety systems, including emergency lights and exit signs not illuminating on battery power, penetrations in the ceiling without proper fire-stopping, non-operational exhaust fans in several rooms, and lack of handrails on both sides of corridors as required.