Inspection Reports for Morningside of Concord
500 Penny Ln NE, Concord, NC 28025, United States, NC, 28025
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
8.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Follow-Up
Deficiencies: 0
Jun 19, 2024
Visit Reason
The visit was a Biennial Construction 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: 3
Mar 19, 2024
Visit Reason
This is a Construction Section Biennial Follow Up Survey conducted to verify compliance with physical plant requirements and licensure and code standards.
Findings
The facility was found not to meet licensure and code requirements for sprinkler protection in certain areas, including the Boiler Room, SCU Med Room closet, and Elevator Equipment Room, where sprinkler heads were missing.
Deficiencies (3)
| Description |
|---|
| Boiler Room - There is not a sprinkler head located in the room. |
| SCU Med Room - A small closet was added that does not have sprinkler protection. |
| Elevator Equipment Room - There is not a sprinkler head located in the room. |
Inspection Report
Capacity: 105
Deficiencies: 11
Jul 27, 2023
Visit Reason
The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the 1991 Edition of the North Carolina Building Code(s) with 19956 revisions, Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure. This was a Construction Section Biennial Survey.
Findings
Multiple deficiencies were cited related to physical plant and safety code compliance, including lack of sprinkler protection in certain rooms, failure of electromagnetic locks to release with fire alarm, sinks without wrist lever handles adjacent to drug storage areas, walls not kept in good repair, excessive combustible storage creating fire and fall hazards, unsecured oxygen bottles, failure to maintain emergency fire alarm and lighting systems, impediments to door closing, obstructions below sprinkler heads, and unsealed penetrations in fire resistant ceilings and walls.
Deficiencies (11)
| Description |
|---|
| Boiler Room, SCU Med Room, and Elevator Equipment Room lacked sprinkler heads. |
| Electromagnetic locks did not release upon fire alarm activation and lacked emergency release switches. |
| Handwashing sinks adjacent to drug storage areas lacked wrist type lever handles at 310, 304, and SCU Nurses' Stations. |
| Walls not kept in good repair; insulation falling in Maintenance Office storage area. |
| Excessive combustible storage in Marketing Storage room creating fire and fall hazards. |
| Oxygen bottles unsecured in Rooms 125 and 126, presenting hazard. |
| Failure to maintain emergency fire alarm system; trouble indicator on FACP and smoke detector replacement needed. |
| Emergency lights behind reception desk, North Stair intermediate landing, and AL Dining did not illuminate on test. |
| Impediments to door closing including kickdown on Kitchen Pantry door and magnetic hold open device issues in Second Floor Activity Room. |
| Failure to maintain 18" clearance below sprinkler heads; food and product boxes stored within 18" of ceiling in Kitchen Pantry. |
| Holes and gaps in fire resistant rated ceilings and walls including hole above gas line in Boiler Room, unsealed cable penetration near Room 222, and missing escutcheon plate on sprinkler head in Room 225 Closet. |
Report Facts
Licensed bed capacity: 105
Special Care Unit beds: 39
Unsecured oxygen bottles: 6
Inspection Report
Capacity: 105
Deficiencies: 10
Oct 10, 2019
Visit Reason
The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the 1996 Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure.
Findings
Multiple deficiencies were cited related to physical plant and safety code compliance, including failure to provide smoke detection in spaces open to corridors, emergency corridor lighting not illuminating during power tests, fire-rated construction penetrations, doors dragging on floors, conduit penetrations not fire protected, blocked exit doors, plumbing issues, and non-operational exhaust fans in required areas.
Deficiencies (10)
| Description |
|---|
| Failed to provide smoke detection in spaces open to the corridor including Dining Halls (First and Second Level) and Family Rooms (Second Level/SCU). |
| Emergency corridor lighting did not illuminate when tested for emergency power in multiple locations. |
| A 4" hole in the Sprinkler Riser Room impedes fire-rated construction. |
| Pipe penetration in the wall at the ceiling in the Sprinkler Riser Room is not fire protected. |
| Doors drag on the floor due to adjustment issues in Kitchen Pantry and Kitchen Mop Sink Closet. |
| Conduit penetrations through corridor wall above lay-in ceiling at Nurses's Station/Second level adjacent to cross-corridor doors are not fire protected. |
| Clothes rack and trash can blocking exit door outside in the Hall adjacent to the Main Laundry Room. |
| Ice maker condensate pipe does not have a 2" airspace above the floor drain in the Kitchen. |
| Exhaust fans are not operational in Housekeeping/First Level, Rooms 100 to 119/First Level, and Restrooms/First Level. |
| Mechanical ventilation not provided in the Housekeeping Closet/Second Level near Staff Breakroom. |
Report Facts
Total licensed beds: 105
Inspection Report
Capacity: 105
Deficiencies: 8
Jun 15, 2017
Visit Reason
The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the 1996 Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure.
Findings
Multiple deficiencies were identified related to physical plant and safety requirements including lack of schematic wiring diagram for special locking system, absence of current fire marshal's inspection report, obstructions in emergency egress pathways, improper storage of oxygen bottles, fire safety equipment not maintained in operating condition, gaps in fire resistant ceilings, and fire resistant door held open by magnetic lock with obstructions preventing proper closure.
Deficiencies (8)
| Description |
|---|
| A schematic wiring diagram of the special locking system showing the devices and the location of the electrical power supply was not displayed adjacent to the fire alarm panel. |
| A current fire marshal's inspection report was not available for review at the time of the survey. |
| The path of egress was obstructed by items stored in the exit hallway (corrected while surveyor was on site). |
| Oxygen cylinders in the resident's closet were stored upright without any means of restraint to prevent them from falling over. |
| A shelf mounted over the stove appears to block the discharge from the fire suppression heads if activated. |
| There is an approximately ½" gap along the perimeter of the recessed light fixture in the fire resistant rated ceiling in the Clean Linen Room. |
| There is a gap at the PVC sleeve for the cable where it penetrates the fire resistant rated ceiling in the Main Electrical Room. |
| The fire resistant rated door to the laundry is held open by a magnetic lock and clothes hampers stored in front of washing machines prevent the door from completely closing and latching. |
Report Facts
Licensed capacity: 105
Inspection Report
Annual Inspection
Deficiencies: 3
Jul 22, 2016
Visit Reason
The Adult Care Licensure Section and the Cabarrus County Department of Social Services conducted an annual survey on 7/21/16 and 7/22/16 at Morningside of Concord.
Findings
The facility failed to assure a criminal background check was completed prior to hire for one staff member. Additionally, the facility failed to notify the physician regarding stool for occult blood not obtained and a GI consult not scheduled for one resident. Medication administration was not in accordance with physician orders for one resident, including failure to administer prescribed medications and treatments.
Deficiencies (3)
| Description |
|---|
| Failed to assure a criminal background check was completed prior to hire for 1 of 6 sampled staff (Staff F). |
| Failed to notify the physician for 1 of 5 sampled residents regarding stool for occult blood not obtained and GI consult not scheduled (Resident #3). |
| Failed to assure medications were administered as ordered for 1 of 5 sampled residents with physician orders for Neosporin, Triamcinolone, Citrucel, and Zoloft (Resident #3). |
Report Facts
Number of sampled staff: 6
Number of sampled residents: 5
Dates of survey: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff F | Nurse Aide | Named in deficiency for missing criminal background check prior to hire |
| Business Office Manager | Responsible for ordering criminal background checks; interviewed regarding Staff F's records | |
| Resident #3 | Resident involved in deficiencies related to health care and medication administration | |
| Nurse Practitioner | Facility Nurse Practitioner | Interviewed regarding medication orders and resident care |
| Director of Nursing | Director of Nursing | Interviewed regarding medication administration and physician orders |
| Wellness Director | Wellness Director | Interviewed regarding physician orders and lab work |
Inspection Report
Follow-Up
Deficiencies: 5
May 6, 2015
Visit Reason
Follow-up survey conducted to verify correction of previously identified deficiencies at Morningside of Concord.
Findings
Several deficiencies were found not corrected, including issues with emergency release switch keys for magnetic locks on exit doors, fire and smoke damper installation, exit signs directing in wrong directions, compromised fire rated walls and ceilings, unsealed penetrations, and corridor doors not latching properly.
Deficiencies (5)
| Description |
|---|
| Locks on exit doors from the Special Care Unit did not meet Building Code egress requirements; emergency release switches were locking type and staff did not carry effective keys. |
| Fire and smoke damper installed through a smoke barrier wall near the kitchen had flanges on only one side, requiring verification of manufacturer's installation instructions. |
| Exit signs directing exiting in the wrong directions, potentially delaying evacuation in an emergency. |
| Required one-hour fire rated walls and ceilings were compromised in several locations, including unprotected fireproofing and unsealed penetrations. |
| Many corridor doors did not close well or latch properly, risking fire and smoke spread; specifically, doors to room 111 and 2nd floor Activity room did not latch. |
Report Facts
Date of survey completion: May 6, 2015
Unprotected fireproofing area size: 3
Inspection Report
Capacity: 105
Deficiencies: 9
Jan 9, 2015
Visit Reason
Biennial Construction Survey conducted to assess conformance with applicable portions of the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds, the 1996 Edition of the North Carolina Building Code, and the 1996 Homes for the Aged and Infirm Minimum Desired Standards.
Findings
Multiple deficiencies were noted including non-compliance with building code requirements for emergency release switches on special locking exit doors, improper installation of fire and smoke dampers, smoke barrier wall penetrations by elevator doors, incorrect exit signage, inadequate fire drill documentation, compromised fire rated walls and ceilings, malfunctioning emergency lighting, improperly closing corridor doors, and unsafe storage of portable medical oxygen cylinders.
Deficiencies (9)
| Description |
|---|
| Locks on exit doors from the Special Care Unit did not meet Building Code requirements; staff did not carry emergency release switch keys and were unaware of their function. |
| Fire and smoke damper installed with flanges on only one side; manufacturer installation instructions need verification. |
| Smoke barrier wall near kitchen penetrated by elevator doors which do not meet smoke resistance requirements. |
| Exit sign near room 230 had arrows pointing in wrong directions, potentially delaying evacuation. |
| Fire drill rehearsal records lacked sufficient description of what the rehearsals involved. |
| One-hour fire rated walls and ceilings compromised by unsealed holes and penetrations in multiple locations including housekeeping closet, sprinkler riser room, elevator room, electrical room, activity room, and smoke barrier walls. |
| Many corridor doors (rooms 111, 126, 240, 241, 2nd floor Activity room) did not close or latch properly to resist fire and smoke passage. |
| Battery powered emergency light in kitchen failed to work when tested. |
| Portable medical oxygen cylinders were improperly stored in an unapproved beverage crate in room 131, posing safety risks. |
Report Facts
Total licensed beds: 105
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