Inspection Reports for Miss Bell’s at Garner
181 Kaspurr Dr, Garner, NC 27529, United States, NC, 27529
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Inspection Report
Annual Inspection
Census: 4
Deficiencies: 7
Mar 11, 2025
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey of the facility on March 11, 2025.
Findings
The facility was found deficient in multiple areas including medication staff qualifications, medication administration competency, tuberculosis testing, resident register completion, activities program implementation, medication administration as ordered, and pharmaceutical care documentation.
Deficiencies (7)
| Description |
|---|
| Failed to ensure that 1 of 3 staff who administered medications had completed the required state-approved medication aide training courses. |
| Failed to ensure that 1 of 3 staff who administered medications had completed clinical skills validation for each medication administration task performed. |
| Failed to ensure 1 of 3 residents had a two-step tuberculosis test as required. |
| Failed to ensure the Resident Register was completed within the required time frame for 1 of 3 sampled residents. |
| Failed to implement an activity program that promoted active involvement by the residents; no activities were offered during the survey. |
| Failed to administer medications as ordered for 1 of 3 sampled residents, including missing administration of multiple prescribed medications. |
| Failed to maintain reports documenting the results of quarterly on-site medication reviews in the resident's record for 2 of 3 sampled residents. |
Report Facts
Residents present: 4
Medications ordered: 11
Medications ordered: 17
Medication reviews: 1
Medication reviews: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Supervisor in Charge | Named in medication administration competency validation deficiency |
| Staff B | Supervisor in Charge | Named in medication staff qualification deficiency |
| Resident Care Coordinator | Interviewed regarding multiple deficiencies including medication training, tuberculosis testing, resident register, activities program, medication administration, and pharmaceutical care documentation |
Inspection Report
Follow-Up
Deficiencies: 20
Oct 3, 2024
Visit Reason
DHSR Construction Section conducted a Biennial Follow-up Survey to verify correction of previously cited deficiencies and to identify any additional deficiencies at the facility.
Findings
The survey found multiple deficiencies related to fire safety, building maintenance, and equipment operation, many of which were previously cited and remain uncorrected. Deficiencies include sprinkler head obstructions, fire alarm and extinguisher maintenance issues, building equipment malfunctions, unsafe exit door locks, and outside premises hazards.
Deficiencies (20)
| Description |
|---|
| Bedroom #1 had a sprinkler head above the ceiling fan paddle blades affecting spray pattern. |
| Multiple recessed sprinklers with cover plates are dropping or have visible holes exposing openings. |
| Facility did not provide documentation of performing 3rd shift fire drills. |
| Facility not activating fire alarms during fire drills as required. |
| Most recent fire inspection reports were not on-site and available for review. |
| Facility sanitation report was outdated (dated October 2, 2023). |
| Front and rear exit doors do not have locks operable by single hand motion from inside. |
| Fire extinguishers were not being checked monthly by staff as required. |
| Facility horn and strobe did not operate as intended per sprinkler report. |
| Two sprinkler gauges have been in service over 5 years and need replacement or testing. |
| Facility did not have the 5-year NFPA sprinkler report on site. |
| Staff did not know how to put fire alarm system in test mode; fire alarm and pull stations could not be tested. |
| Kitchen oven light was not working. |
| Flooring was separating near hallway bathrooms. |
| Breaker box was blocked by storage, restricting access. |
| Grab bars in front hallway bathroom were loose. |
| Portable electric heater was being used in bedroom #5, which is prohibited. |
| Dead wasp nest observed in front light fixture. |
| Broken conduit on left side of facility. |
| Facility fence gate on left side cannot be opened both ways; latch needed. |
Report Facts
Cost of North Carolina State Building Code volumes: 380
Date of sanitation report: Oct 2, 2023
Survey duration: 35
Fire extinguisher size: 5
Sprinkler gauge service duration: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jonathan Gamsey | Reported the Biennial Follow-up Survey. |
Inspection Report
Annual Inspection
Census: 5
Deficiencies: 4
Nov 30, 2023
Visit Reason
The Adult Care Licensure Section conducted an annual survey on 11/29/23 and 11/30/23 to assess compliance with regulatory requirements for the facility.
Findings
The facility was found deficient in competency validation for licensed health professional support tasks, implementation of an activities program promoting resident involvement, and medication administration and documentation accuracy for sampled residents.
Deficiencies (4)
| Description |
|---|
| Failed to ensure competency validation for Licensed Health Professional Support tasks for 1 of 3 sampled staff related to applying ACE bandages. |
| Failed to implement an activities program that promoted active involvement by the residents; no group activities were offered during observation. |
| Failed to administer medications as ordered for 1 of 3 sampled residents, including missed doses of Forteo for osteoporosis treatment. |
| Medication administration records were inaccurate for 2 of 3 sampled residents, including missing documentation and confusing scheduling for Kesimpta injections. |
Report Facts
Census: 5
Medication administration missed doses: 7
Medication administration early dose: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Medication Aide | Named in competency validation deficiency related to applying ACE bandages and medication administration. |
| Administrator | Interviewed regarding deficiencies and facility operations but no full name provided. | |
| Clinical Director | Interviewed regarding medication administration and eMAR issues but no full name provided. |
Inspection Report
Capacity: 6
Deficiencies: 5
Aug 1, 2019
Visit Reason
DHSR Construction Section conducted a Biennial Survey on August 1, 2019 to ensure compliance with the 2005 Rules for Family Care Homes and applicable portions of the 2012 North Carolina State Building Code for small nonambulatory care facilities.
Findings
The survey identified multiple building maintenance deficiencies including loose grab bars in the back bathroom, loose oxygen tanks stored improperly, a dirty and dislodged range hood filter, a clogged dryer exhaust vent, and dirty, mildewed siding at the rear of the house. All deficiencies require corrective action.
Deficiencies (5)
| Description |
|---|
| Loose grab bars in the back bathroom |
| Loose oxygen tanks stored in the front left bedroom |
| Dirty and dislodged range hood filter |
| Clogged dryer exhaust vent |
| Dirty and mildewed siding at the rear of the house |
Report Facts
Licensed capacity: 6
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