Inspection Reports for Morningside of Raleigh

The Adult Care Licensure Section conducted an annual and follow-up survey and complaint investigation initiated by the Wake County Department of Social Services on 03/18/24.

The facility failed to notify the local county Department of Social Services within 48 hours for incidents involving 2 of 3 sampled residents, including a resident who sustained injuries from a fall requiring emergency medical evaluation and a resident who alleged inappropriate touching by a staff member requiring emergency medical evaluation. The facility delayed notification to DSS beyond the required timeframe.

The complaint investigation was initiated by the Wake County Department of Social Services on 03/18/24 regarding allegations of inappropriate touching of Resident #4 by a staff member and failure to timely notify DSS of incidents.

The Adult Care Licensure Section and the Wake County Department of Social Services conducted a follow-up survey and complaint investigation based on complaints initiated on 02/15/23 and 03/20/23.

The facility was found deficient in multiple areas including failure to ensure food service staff washed hands before serving food, failure to assist a cognitively impaired resident with meals including not serving lunch, and medication administration errors involving insulin, topical medication, and delayed medication delivery.

Complaint investigations were initiated by the Wake County Department of Social Services on 02/15/23 and 03/20/23, triggering the follow-up survey conducted from 03/28/23 to 03/30/23.

The inspection was conducted as a complaint investigation regarding a resident ingesting mechanical dish detergent due to failure to secure the Special Care Unit kitchenette.

The facility failed to ensure the Special Care Unit kitchenette door was locked, resulting in a resident ingesting mechanical dish detergent and sustaining serious physical harm including esophageal burns. This constituted a Type A1 violation.

The complaint investigation substantiated that Resident #1 ingested mechanical dish detergent after the Special Care Unit kitchenette door was left unlocked, resulting in hospitalization for sixteen days with esophageal burns.

The Adult Care Licensure Section conducted a follow-up survey on 01/03/23 - 01/04/23 to verify correction of previous deficiencies related to physical environment and personal care and supervision.

The facility failed to ensure the front door in the Assisted Living unit had a working sounding device to alert staff when opened, despite 26 of 37 residents being disoriented. Additionally, the facility failed to provide adequate supervision for Resident #2 who experienced 9 falls over two months, resulting in injury and emergency room visits.

The Adult Care Licensure Section and the Wake County Department of Social Services conducted a follow-up survey and a complaint investigation initiated by the County Department of Social Services on 08/24/22.

The facility failed to ensure the front door in the Assisted Living (AL) unit had a sounding device activated when opened, despite 20 of 32 residents being disoriented. Additionally, the facility failed to provide increased supervision for a resident (#5) with wandering behaviors in the Special Care Unit (SCU) when the west exit door alarm was malfunctioning, resulting in multiple elopements.

The complaint investigation was initiated by the County Department of Social Services on 08/24/22. Resident #5 eloped multiple times due to malfunctioning exit door alarms and inadequate supervision, placing the resident at substantial risk of serious injury.

The Adult Care Licensure Section conducted an annual and follow-up survey and complaint investigation from 06/07/22 to 06/10/22 at Morningside of Raleigh.

The facility was found deficient in multiple areas including failure to ensure exit doors had activated alarms for a resident with elopement risk, failure to complete care plans with required signatures, failure to provide adequate supervision resulting in multiple falls, failure to notify primary care providers of significant weight changes and health concerns, medication administration errors, inadequate cleaning of kitchen equipment, and failure to provide timely personal care assistance and supervision to residents.

Complaint investigation was part of the visit due to concerns including resident elopement, medication errors, inadequate supervision, and personal care issues.

The Adult Care Licensure Section conducted an annual and follow-up survey and complaint investigation on 07/28/21 - 07/30/21. The complaint investigation was initiated by the Wake County Department of Social Services on 07/27/21.

The facility failed to maintain a safe environment free of hazards and obstructions, including unsecured personal care and cleaning products accessible to residents in the special care unit (SCU). Additionally, the facility failed to ensure adequate staffing levels in the SCU and maintain proper housekeeping and furnishings, resulting in unsafe conditions and noncompliance with regulations.

The complaint investigation was initiated by the Wake County Department of Social Services on 07/27/21 and was conducted concurrently with the annual and follow-up survey from 07/28/21 to 07/30/21.

Follow-up survey conducted with onsite visits on March 18-19, 2021, desk review on March 22-23, 2021, and telephone exit on March 23, 2021, to verify correction of previous deficiencies.

The facility failed to provide adequate personal care to residents, ensure medications were administered as ordered, and maintain sufficient staffing levels on the Special Care Unit (SCU). Deficiencies included missed medication doses for residents with Parkinson's disease and atrial fibrillation, and staffing shortages resulting in delayed resident care.

The Adult Care Licensure Section conducted a complaint investigation and a COVID-19 focused Infection Control survey with an onsite visit on 12/15/20 and a desk review survey from 12/15/20 to 12/22/20.

The facility failed to ensure required staffing hours for the assisted living area and special care unit were met for multiple shifts, and failed to provide adequate supervision for Resident #3 who had multiple falls with injuries. Medication administration records for several residents were incomplete, and the facility failed to notify the county department of social services of incidents requiring emergency medical evaluation and treatment for Resident #3.

Complaint investigation triggered the survey. Resident #3 had multiple falls with injuries including abrasions, bruises, hematoma, bleeding from the right eyebrow, possible rib fracture, and a head injury with laceration requiring stitches. The facility failed to provide adequate supervision and failed to notify DSS of incidents requiring emergency medical evaluation.

This report documents a Construction Section Biennial Survey conducted on December 4, 2019, to assess compliance with the 1991 Rules for Licensing of Domiciliary Homes, the 1991 North Carolina State Building Code, and applicable portions of the 2005 Rules for Adult Care Homes of Seven or More Beds.

Multiple deficiencies were cited related to physical plant, fire safety, housekeeping, maintenance, and equipment. Issues included failure of delayed egress locks to release on fire alarm activation, lack of current fire and building safety inspection reports, bathrooms under renovation or used for storage, blocked exits, deteriorated ceilings and walls, trip hazards, unsecured oxygen bottles, unsealed penetrations compromising fire safety, electrical hazards, non-functioning emergency lighting, obstructed sprinkler heads, loose plumbing fixtures, and non-working exhaust ventilation.

This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to building and fire safety systems.

The facility failed to maintain fire safety systems in a safe and operational condition, including malfunctioning fire alarm magnetic hold open devices and unprotected penetrations in smoke barrier walls. Additionally, electrical panels were found to have mislabeled circuits.

The visit was a Construction Section Biennial Survey to ensure the facility meets the 1991 Rules for Licensing of Domiciliary Homes, the 1991 North Carolina State Building Code, and applicable portions of the 2005 Rules for Adult Care Home of Seven or More Beds.

Multiple deficiencies were cited including lack of current sanitation and fire safety inspection reports, failure to maintain cleanliness and repair in food preparation and bathing areas, hazards obstructing egress paths, failure to secure oxygen bottles properly, lack of documentation for fire drill rehearsals, malfunctioning fire alarm and emergency lighting systems, unsafe smoke-barrier wall construction, mislabeled electrical panels, and inadequate exhaust ventilation in several areas.

Follow-Up Construction Survey to verify correction of deficiencies cited during the Biennial Construction Survey.

The facility failed to satisfactorily correct several deficiencies related to housekeeping, building maintenance, fire safety, and building equipment. Issues included strong odors and stained carpet in resident rooms, tripping hazards at exit doors, fire safety system malfunctions, and holes compromising fire-resistance of walls.

This is a Biennial Construction Survey conducted to assess compliance with the 1991 Rules for the Licensing of Domiciliary Homes, the 1991 North Carolina State Building Code, and applicable portions of the 2005 Rules for Adult Care Homes of Seven or More Beds.

The facility was found to have multiple deficiencies including failure to maintain buildings in good repair and clean condition, hazards such as unsecured oxygen containers and trip hazards, failure to maintain fire resistance and safety systems, electrical system issues, and failure to maintain mechanical exhaust systems in working condition.