Inspection Reports for Morningside of Gastonia
2755 Union Rd, Gastonia, NC 28054, United States, NC, 28054
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
10.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
98% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
NC DHSR Star Rating History
| Date | Rating | Score | Merits | Demerits | Type |
|---|---|---|---|---|---|
| Apr 10, 2024 | 103.5 | 3.5 | 0 | Annual Inspection | |
| May 11, 2022 | 103.5 | 3.5 | 0 | Annual Inspection | |
| May 10, 2019 | 100.25 | 3.75 | 0 | Follow-Up Inspection | |
| Mar 11, 2019 | 96.5 | 5.5 | 9 | Annual Inspection | |
| Jul 11, 2016 | 105.5 | 5.5 | 0 | Annual Inspection | |
| Sep 10, 2014 | 105.5 | 5.5 | 0 | Annual Inspection | |
| Aug 5, 2013 | 98 | 8 | 0 | Annual Inspection | |
| Aug 5, 2013 | 98 | 8 | 0 | Annual Inspection | |
| Aug 5, 2013 | 94 | 2.5 | 0 | Follow-Up Inspection | |
| Jan 29, 2013 | 91.5 | 0 | 10 | Complaint Investigation | |
| Jun 27, 2012 | 101.5 | 5.5 | 4 | Annual Inspection | |
| Sep 28, 2010 | 103.5 | 5.5 | 2 | Annual Inspection | |
| Sep 14, 2009 | 101.5 | 5.5 | 4 | Annual Inspection |
Inspection Report
Follow-Up
Deficiencies: 6
Apr 11, 2019
Visit Reason
This is a biennial follow-up construction survey conducted to assess the correction of previously cited deficiencies related to building equipment and fire safety.
Findings
The survey found multiple corridor doors that do not close or latch properly, compromising fire and smoke resistance, and improper storage too close to a fire sprinkler head, which could impair fire suppression.
Deficiencies (6)
| Description |
|---|
| The 1 hour fire rated door to the soiled linen room near room 101 was sagged and could not automatically close and latch. |
| The door to room 223 does not fit the opening properly to be resistant to the passage of smoke. |
| The door to room 225 does not fit the opening properly to be resistant to the passage of smoke. |
| The door to room 233 does not latch when closed. |
| The door to room 237 does not latch when closed. |
| Items had been stacked to within 8 inches of the ceiling in the closet off the Special Care Activity room, violating fire sprinkler clearance requirements. |
Report Facts
Fire sprinkler clearance: 8
Fire sprinkler clearance requirement: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding scheduled repairs for deficient doors |
Inspection Report
Capacity: 105
Deficiencies: 15
Feb 27, 2019
Visit Reason
The inspection was a Construction Section Biennial Survey to assess compliance with licensing rules and building codes applicable to adult care homes.
Findings
Multiple deficiencies were identified including unsafe handling of compressed gas cylinders, lack of regular fire safety rehearsals, malfunctioning exit signs and emergency lights, fire doors not closing or latching properly, compromised fire-rated walls and ceilings, improper storage near sprinkler heads, plumbing and drainage issues, hot water temperature exceeding safe limits, and failure to maintain required exhaust ventilation.
Deficiencies (15)
| Description |
|---|
| Compressed gas cylinders were improperly stored, including oxygen cylinders in an unapproved plastic crate and a nitrogen cylinder leaning against a wall. |
| Fire drill rehearsals were not conducted regularly each shift quarterly, with missing rehearsals in multiple quarters and insufficient documentation. |
| Exit signs in multiple locations did not work on battery power, potentially delaying evacuation. |
| Battery powered emergency lights in several areas failed to work properly. |
| Many corridor and fire doors were propped open, chained open, sagged, or did not latch properly, compromising fire and smoke containment. |
| One-hour fire rated walls and ceilings had holes and penetrations not properly sealed, and a smoke detector was hanging by wires. |
| Storage was too close to fire sprinkler heads, including items stacked to the ceiling or within 2 inches of the ceiling. |
| New construction blocked a fire sprinkler head on the outside porch. |
| Large quantities of combustible storage were kept in an area not designed for storage, including mattresses, wood chests, and cardboard boxes in the men's locker room. |
| Range hood fire suppression nozzle was mispositioned but corrected during the survey. |
| Ice machine drain lines extended into the floor drain, risking contamination. |
| A plumbing drain was not properly sealed after sink removal, allowing odors and bacteria to enter. |
| Insufficient replacement sprinkler heads were maintained for each type used in the facility. |
| Hot water temperature in room 217 was 121 degrees F, exceeding the maximum safe limit of 116 degrees F. |
| Exhaust ventilation was not working in the jacuzzi room. |
Report Facts
Total licensed beds: 105
Compressed oxygen cylinders improperly stored: 5
Replacement sprinkler heads: 2
Replacement sprinkler heads: 2
Hot water temperature: 121
Fire safety rehearsals missing: 3
Inspection Report
Annual Inspection
Deficiencies: 3
Nov 16, 2018
Visit Reason
The Adult Care Licensure Section conducted an annual survey of Morningside of Gastonia from November 14 to November 16, 2018.
Findings
The facility failed to maintain hot water temperatures within the required range at 15 water fixtures, and failed to ensure proper medication administration and self-administration protocols for residents. Deficiencies included elevated hot water temperatures posing burn risks and medication management failures for two residents self-administering medications without proper physician orders or labeling.
Severity Breakdown
Type B Violation: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Hot water temperatures exceeded the maximum allowed 116 degrees F at 15 water fixtures in residents' rooms and the Specialty Care Unit Dining Room sink, ranging from 117 to 128 degrees F. | Type B Violation |
| Medications were not administered as ordered for Resident #5, who missed doses of Remeron for 7 days due to pharmacy refill errors and lack of follow-up. | — |
| Two residents permitted to self-administer medications did not meet requirements: Resident #4 lacked a physician's order to self-administer and was assessed incapable; Resident #7 used unlabeled pill bottles and organizers without specific instructions on medication labels. | Type B Violation |
Report Facts
Water fixtures with elevated temperatures: 15
Days medication not administered: 7
Residents sampled for self-administration: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Service Director | Resident Service Director (RSD) | Interviewed regarding hot water temperature monitoring and medication self-administration assessments |
| Maintenance Director | Maintenance Director (MD) | Responsible for monitoring and adjusting hot water temperatures |
| Executive Director | Executive Director (ED) | Interviewed regarding facility policies and oversight |
| Medication Aide | Medication Aide (MA) | Responsible for medication reordering and administration |
| Personal Care Aide | Personal Care Aide (PCA) | Interviewed regarding hot water temperature awareness and resident safety |
| Resident Care Director | Resident Care Director (RCD) | Interviewed regarding medication administration and reordering processes |
Inspection Report
Follow-Up
Deficiencies: 1
May 24, 2017
Visit Reason
Biennial Follow-Up Construction Survey to verify correction of previously cited deficiencies related to building and fire safety equipment.
Findings
The facility failed to maintain the building and fire safety equipment in areas required to have a fire rating as prescribed by the North Carolina Building Code. Fire-proofing was found removed or disturbed in multiple locations due to roof repair and new shingle installation.
Deficiencies (1)
| Description |
|---|
| Failure to maintain building and fire safety equipment with required fire rating in specified areas. |
Inspection Report
Capacity: 105
Deficiencies: 8
Mar 30, 2017
Visit Reason
This is a Construction Section Biennial Survey conducted to assess compliance with the 1996 Rules for the Licensing of Adult Care Homes and the 1996 North Carolina State Building Code, focusing on physical plant conditions and safety.
Findings
Multiple deficiencies were identified including failure to keep ceiling return-air grilles clean, damaged ceiling tiles, excessive grease build-up creating fire hazards, failure to maintain fire safety equipment and emergency lighting, obstructed exit signage, and unsecured plumbing fixtures.
Deficiencies (8)
| Description |
|---|
| Ceiling return-air grilles clogged with dust, grease, and particulate build-up in kitchen and dining areas. |
| Lay-in ceiling tile in Main Kitchen/First Floor stained, cracked, and damaged. |
| Gas range in Main Kitchen/First Floor has excessive grease build-up and debris posing a potential fire hazard. |
| Fire-proofing removed or disturbed in multiple locations due to roof repair and shingle installation. |
| Emergency wall lights at multiple locations failed to illuminate in emergency mode. |
| Emergency exit sign not illuminated at Activity Room/Second Floor. |
| Exit signs at First Floor Interior Courtyard exits obstructed by awnings. |
| Toilet in Room 118 not secured to the floor. |
Report Facts
Licensed bed capacity: 105
Inspection Report
Plan of Correction
Capacity: 105
Deficiencies: 8
Nov 6, 2014
Visit Reason
Biennial Construction Survey to assess compliance with physical plant requirements, building codes, and safety regulations for the licensed adult care home.
Findings
Multiple physical plant deficiencies were identified including improper delayed egress door operation, unsanitary conditions with ice machine drainage, breaches in fire-resistance-rated construction, unsecured portable oxygen cylinders, non-operational emergency lighting, fire doors not latching properly, locked egress doors requiring keys or special knowledge, and inadequate control over ovens/ranges in resident activity areas.
Deficiencies (8)
| Description |
|---|
| Delayed egress doors to the SCU did not initiate unlocking within 3 seconds and lacked required signage; audible alarm was barely audible. |
| Ice machine drain in the kitchen was piped directly onto the floor receptor, risking contamination. |
| Ceiling and walls penetrated with unsealed holes and cables compromising fire-resistance-rated construction. |
| Portable medical oxygen cylinders stored unsecured in beverage crates. |
| Emergency lights failed to operate on backup power in multiple corridor locations. |
| Fire doors and corridor doors did not close or latch properly, compromising fire and smoke containment. |
| Egress doors locked with dead bolts or padlocks requiring keys or special knowledge to exit. |
| Oven in SCU Activity Room was powered on without staff awareness and combustibles placed on burners. |
Report Facts
Licensed beds: 105
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