Inspection Reports for Miss Bell’s at Fuquay
709 Minerva Dale Dr, Fuquay-Varina, NC 27526, United States, NC, 27526
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Inspection Report
Annual Inspection
Census: 4
Deficiencies: 5
Mar 13, 2025
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey of the facility on March 13, 2025.
Findings
The facility was found deficient in multiple areas including failure to conduct required background checks and drug screenings for staff prior to hire, failure to ensure a two-step tuberculosis test for a resident upon admission, improper food storage and labeling, and lack of an activity program promoting resident involvement.
Deficiencies (5)
| Description |
|---|
| Facility failed to ensure 1 of 3 sampled staff had no substantiated findings on the North Carolina Health Care Personnel Registry prior to hire. |
| Facility failed to ensure 1 of 3 sampled staff had an examination and screening for controlled substances completed upon hire. |
| Facility failed to ensure 1 of 3 sampled residents had a two-step tuberculosis test upon admission. |
| Facility failed to ensure food items stored and served were dated and labeled properly; refrigerator and dining areas were not clean. |
| Facility failed to implement an activity program that promoted active involvement by residents. |
Report Facts
Current census: 4
Staff sample size: 3
Resident sample size: 3
Hours of planned group activities required: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Medication Aide | Named in findings related to missing background check and drug screening prior to hire |
| Resident Care Coordinator | Interviewed regarding staff qualifications, resident tuberculosis testing, food service, and activities program | |
| Executive Director | Responsible for ensuring staff screenings and resident paperwork; attempted interviews were unsuccessful |
Inspection Report
Follow-Up
Deficiencies: 18
Nov 13, 2024
Visit Reason
The Division of Health Service Regulation conducted a Biennial Follow-up Survey to verify correction of previously cited deficiencies at the facility.
Findings
The survey found multiple ongoing deficiencies related to building construction, fire safety, equipment maintenance, and life safety systems. Many deficiencies were previously cited and remain uncorrected, requiring further corrective action.
Deficiencies (18)
| Description |
|---|
| Second story did not have the required fire alarm pull station. |
| Combustibles were stored in the attic areas. |
| Corridor night lights missing in front right and left hallway. |
| Second floor used for storage and office without a second remote exit. |
| Front door had a security lock requiring special knowledge and door levers were not single motion. |
| Front entrance ramp lacked handrails on both sides; back door ramp lacked grab bar. |
| No fire extinguisher centrally located in kitchen; unmounted extinguishers with outdated tags; extinguishers not monitored monthly by staff. |
| Residential smoke detector in master suite was a single station unit not interconnected; missing smoke detector in hallway between bedrooms #2 and #3. |
| Staff lacked proper training on fire alarm system operation; current service contract for fire panel system not provided. |
| Fire drill logs not available for review; smoke alarms not activated during drills. |
| Above-the-range microwave light not working; grease filters dirty; burnt-out ceiling lightbulb in kitchen; dirty HVAC filter; deteriorating camera wire; tree limbs touching shingles; gutters full; damaged outdoor chairs; spider webs on exterior windows; unsecured attic access panel; table and chairs blocking ramp landing; organic growth in HVAC unit in bedroom #5. |
| Water on floor behind washing machine indicating possible leak. |
| Missing receptacle cover to right of back door. |
| Residential smoke detector in foyer not properly mounted. |
| Missing sprinkler head tool in red sprinkler head box in garage. |
| Unsecured cylinder style oxygen tank in bedroom #2 closet. |
| Garage door not secured, risking tampering with water tanks and sprinkler system. |
| Small space heater found in second-floor bathroom closet, which is prohibited. |
Report Facts
Survey duration: 85
Previous survey date: Jul 3, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Myers | Reported the Biennial Follow-up Survey |
Inspection Report
Annual Inspection
Deficiencies: 7
Dec 14, 2023
Visit Reason
The Adult Care Licensure Section conducted an annual survey of the facility on December 14, 2023.
Findings
The facility was found to have multiple deficiencies including failure to maintain a hazard-free environment with accessible medications and cleaning supplies, improper food storage and labeling, lack of current menus and therapeutic diet menus, failure to serve water at meals, absence of a current list of residents on therapeutic diets, and insufficient planned group activities for residents.
Deficiencies (7)
| Description |
|---|
| Facility failed to maintain an environment free of hazards including medications, personal care items, and cleaning solutions accessible to residents. |
| Facility failed to ensure food items were dated and labeled and refrigerator was clean. |
| Facility failed to maintain a current menu day for guidance of food service staff. |
| Facility failed to have a matching therapeutic diet menu for a resident on a regular and chopped diet. |
| Facility failed to serve water to residents during the lunch meal. |
| Facility failed to maintain a current list of residents with physician-ordered therapeutic diets for guidance of food service staff. |
| Facility failed to ensure residents were offered at least 14 hours of a variety of planned group activities per week. |
Report Facts
Food items unlabeled or undated: 17
Observation time: 8.5
Hours of activities provided: 3.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Personal Care Aide (PCA) | Interviewed regarding accessibility of personal care items and activities provided. | |
| Medication Aide (MA) | Interviewed regarding meal preparation, food labeling, therapeutic diets, and water service. | |
| Administrator | Interviewed regarding knowledge of cleaning supplies, medication storage, food labeling, menu posting, therapeutic diet lists, and activities. |
Inspection Report
Census: 6
Deficiencies: 4
Nov 2, 2018
Visit Reason
Biennial survey conducted by the DHSR Construction Section to assess compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the 2012 North Carolina State Building Code for a Family Care Home licensed for six non-ambulatory residents.
Findings
Deficiencies were cited related to the absence of a handrail on the wall side of the ramp, fire extinguisher not mounted to the wall (corrected during survey), unused furniture stored in the backyard, and fire extinguishers not being checked or tagged monthly.
Deficiencies (4)
| Description |
|---|
| No handrail on the wall side of the ramp, not compliant with 10A NCAC 13G .0312. |
| Fire extinguisher was not mounted to the wall (corrected during survey). |
| Unused furniture being stored in the backyard, not compliant with 10A NCAC 13G .0317. |
| Fire extinguishers are not being checked monthly and inspection tags are not updated monthly. |
Report Facts
Licensed non-ambulatory residents: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Glenn Hoppin | Reported by Glenn Hoppin from DHSR Construction Section. |
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