Inspection Reports for Mint Hill Senior Living

Multiple deficiencies were cited including failure to meet physical plant requirements, lack of current fire and building safety inspection reports, unsecured hazardous storage areas, unsafe and unmaintained building and fire safety equipment, inadequate housekeeping and maintenance, failure to conduct required fire safety rehearsals, improper storage of oxygen bottles, and inadequate exhaust ventilation.

The facility was found deficient in multiple areas including failure to ensure care plans were signed by assessors and physicians, food service sanitation issues, medication administration errors, lack of follow-up on pharmacy recommendations, and failure to report incidents to the county Department of Social Services.

The facility failed to ensure referral and follow-up with physicians for multiple residents regarding medication administration and wound clinic orders. Additionally, medications were not administered as ordered for one resident, and infection prevention and control practices related to COVID-19 quarantine and social distancing were not consistently followed.

The facility failed to assure physician notification for one resident (Resident #5) with altered mental status and a change in baseline function, resulting in serious physical harm and neglect. Resident #5 was found unresponsive with critically low oxygen levels, requiring intubation and a 5-day hospitalization.

The facility failed to ensure competency validation of medication aides for monitoring a non-invasive ventilator, failed to complete a timely assessment after a significant change in condition, failed to implement physician's orders for a non-invasive ventilator and wound care, and failed to administer medications as ordered for a resident. These failures resulted in resident harm including hospitalization and neglect.

The facility was found deficient for failing to provide current sanitation and fire safety inspection reports, inadequate housekeeping and furnishings cleanliness, unsafe and non-operating building equipment including fire safety components, and non-operational exhaust ventilation systems in multiple areas.

Report of Construction Section Complaint Follow-up by Ed Miller on 10-18-2019. Some deficiencies were not corrected. Further action is required.

The facility failed to maintain the fire suppression system in a safe and operating condition. The sprinkler system remained out of service with ongoing leak testing and replacement line installation.

This visit was a complaint follow-up inspection conducted on 2019-07-03. Some deficiencies from the prior complaint inspection were not corrected, requiring further action.

The facility failed to maintain the fire suppression system in a safe and operating condition due to leaking piping causing the sprinkler system to be out of service. Additionally, new light fixtures installed in corridors obstructed exit signs, compromising safe egress.

The complaint was substantiated regarding fire doors not maintained for fire protection and the fire sprinkler system not being fully maintained.

The complaints were substantiated. The facility failed to maintain fire-rated doors that did not close completely or latch, allowing passage of smoke and fire at multiple locations. The fire suppression system was impaired, with low pressure on the sprinkler riser gauge, a slow sprinkler test time of 72 seconds, and leaking piping causing nuisance activations.

Complaint investigation was initiated by the Mecklenburg County Department of Social Services on September 27, 2018, related to the issues found during the survey.

The facility was found to have multiple deficiencies including unsecured oxygen cylinders posing safety hazards, failure to maintain hot food temperatures in the special care unit, failure to serve therapeutic diets as ordered for a resident, and failure to implement proper infection control measures during medication administration, specifically related to nebulizer equipment and oxygen tubing.

The facility failed to administer medications as ordered for 1 of 5 residents observed during the medication pass, resulting in a 6% medication error rate with 2 errors out of 30 opportunities. The errors involved incorrect dosages of Amlodipine and Januvia for Resident #3.

The facility failed to ensure adequate oxygen supply and administration for Resident #4, resulting in respiratory distress and hospitalizations. It also failed to implement physician orders for oxygen and blood pressure monitoring for Residents #4 and #2 respectively, and failed to provide proper place settings including knives in the Special Care Unit (SCU). Additionally, the facility did not serve milk twice daily as required and failed to administer medications correctly for Resident #5.

The complaint was substantiated as deficiencies were cited related to building equipment maintenance and fire safety due to water damage from a frozen sprinkler head and piping failure.

The complaint was substantiated with deficiencies cited related to water damage from a frozen sprinkler head and piping failure in Resident Room 406, compromising the fire resistance and protection of the facility. Significant damage included 75% of ceiling construction, exterior wall sheet-rock and insulation, fire detection devices, and ceiling light fixtures.

The facility failed to assure the implementation of a physician's order for daily blood pressure and pulse checks and weekly faxing of results to the physician for Resident #3. Documentation showed no daily checks or faxing occurred from November 24, 2015, until a new order was signed on January 5, 2016, to resume daily checks for one week and fax results.

The facility was found to have deficiencies related to housekeeping and furnishings, specifically failure to keep furnishings in good repair and lack of wall-mounted handrails in some hall sections. Additionally, exhaust ventilation was not provided in certain areas, with a non-operable exhaust fan and a bird nest found in the main laundry exhaust fan.

The facility failed to maintain floors, ceilings, furnishings, fire safety systems, heating and cooling systems, and exhaust ventilation in good repair and safe operating condition. Specific deficiencies included cracked tiles, missing handrails, doors that do not latch, obstructed electrical panels, missing outlet covers, holes and gaps in fire resistant ceilings, non-functioning emergency lights and smoke detectors, non-operating HVAC units, and non-functioning exhaust systems.

The complaint investigation was initiated by the Mecklenburg County Department of Social Services on 07/23/15 regarding failure to implement physician orders and failure to treat residents with respect and dignity, including failure to immediately report a resident's concerns about inappropriate behavior by a flooring company employee.

The facility failed to implement a physician's order for weekly weights for one resident and failed to assure residents were treated with respect, consideration, and dignity related to not immediately reporting a resident's concerns about inappropriate behavior by a flooring company employee. The facility took corrective actions including staff meetings and increased supervision of contractors.

Complaint investigation initiated by Mecklenburg County Department of Social Services on May 19, 2015, related to alleged sexual abuse of Resident #3 by Staff F on May 14, 2015. Investigation included interviews, record reviews, security camera footage, and law enforcement involvement. An arrest was made on May 29, 2015.

The facility failed to ensure referral and follow-up for CPAP therapy for one resident, and failed to assure residents were free from abuse related to an alleged sexual assault by a staff member. Additionally, medication administration errors were found for one resident.