Inspection Reports for Navion of Goldsboro
1800 N Berkeley Blvd, Goldsboro, NC 27534, United States, NC, 27534
Back to Facility ProfileDeficiencies per Year
20
15
10
5
0
Unclassified
NC DHSR Star Rating History
| Date | Rating | Score | Merits | Demerits | Type |
|---|---|---|---|---|---|
| May 11, 2023 | 101.5 | 3.5 | 2 | Annual Inspection | |
| Oct 11, 2021 | 102.5 | 4.5 | 2 | Annual Inspection | |
| Feb 6, 2017 | 104.5 | 4.5 | 0 | Annual Inspection | |
| Oct 6, 2014 | 104.5 | 4.5 | 0 | Annual Inspection | |
| May 14, 2012 | 104.5 | 4.5 | 0 | Annual Inspection | |
| Aug 20, 2010 | 105.5 | 5.5 | 0 | Annual Inspection | |
| Sep 10, 2009 | 102.5 | 2.5 | 0 | Annual Inspection |
Inspection Report
Follow-Up
Deficiencies: 0
Jun 19, 2025
Visit Reason
The visit was a Biennial Follow Up Construction Survey conducted to verify correction of previously noted deficiencies.
Findings
Deficiencies noted during the Biennial Construction Survey have been corrected and no further action is required at this time.
Inspection Report
Capacity: 60
Deficiencies: 12
Apr 1, 2025
Visit Reason
The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds, applicable portions of the 1996 (1997 Revision) 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. This was a Construction Section Biennial Survey.
Findings
Multiple deficiencies were cited including failure to maintain outside premises clean and safe, housekeeping issues with cleanliness and repair, hazards obstructing egress, fire safety equipment not maintained or inspected, electrical emergency lighting failures, fire safety system gaps and obstructions, use of non-fire resistant materials, and inadequate exhaust ventilation in specified areas.
Deficiencies (12)
| Description |
|---|
| Outside grounds were not kept in a clean and safe condition with trash and damaged siding. |
| Walls, ceilings, and floors were not kept clean and in good repair; mildew and grease buildup noted. |
| Facility was not maintained free of obstructions and hazards; broken door hardware and bent metal in egress paths observed. |
| Fire safety equipment not inspected or maintained; fire extinguisher not serviced annually; hood suppression system overdue for inspection. |
| Electrical emergency and safety lighting equipment not maintained; multiple exit signs and emergency lights failed to illuminate or were dim. |
| Fire safety doors did not latch properly to limit smoke or fire spread. |
| Holes and gaps in fire resistant rated ceilings at sprinkler heads and smoke detectors. |
| Sprinkler heads obstructed by dust and cobwebs. |
| Use of non-fire resistant foam to seal ceiling penetrations. |
| Emergency fire alarm system devices not maintained; smoke detector hanging from wires. |
| Electrical equipment not maintained safely; broken light fixture lens. |
| Exhaust ventilation not maintained in specified spaces; exhaust fan in spa tub area not working. |
Report Facts
Total licensed capacity: 60
Inspection Report
Annual Inspection
Deficiencies: 3
Apr 5, 2023
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey from April 5, 2023 through April 6, 2023 to assess compliance with medication administration regulations.
Findings
The facility failed to ensure medications were administered as ordered for 2 of 4 residents observed during the medication pass, resulting in a 9% medication error rate with 3 errors out of 31 opportunities. Errors involved medications for high blood pressure, dementia, and constipation.
Deficiencies (3)
| Description |
|---|
| Failed to administer Coreg 3.125mg as ordered to Resident #6 during the 8:00am medication pass on 04/05/23. |
| Donepezil 10mg was administered at the wrong time and not documented as given on 04/05/23 for Resident #6. |
| Daily fiber capsule was administered with breakfast instead of 2 hours before or after a meal as ordered for Resident #7. |
Report Facts
Medication error rate: 9
Medication errors: 3
Medication administration opportunities: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Medication Aide | Interviewed regarding medication administration errors and nervousness during observed medication pass | |
| Health and Wellness Director | Conducted medication aide training and responsible for ensuring medication orders were timed appropriately on eMAR | |
| Administrator | Interviewed about expectations for medication administration and staff responsibilities |
Inspection Report
Annual Inspection
Deficiencies: 2
Aug 26, 2021
Visit Reason
The Adult Care Licensure Section conducted an annual survey from August 24, 2021 through August 26, 2021 to assess compliance with medication administration regulations.
Findings
The facility failed to ensure the medication administration record (eMAR) was accurate for 2 of 3 residents sampled, specifically related to insulin administration for Resident #1 and anxiety medication for Resident #3. Documentation errors included insulin given outside prescribed blood sugar parameters and discrepancies between controlled substance counts and eMAR entries.
Deficiencies (2)
| Description |
|---|
| Medication administration record was inaccurate for Resident #1 with insulin documented as administered when blood sugar was below parameters. |
| Medication administration record was inaccurate for Resident #3 with Xanax doses not documented as administered despite being signed out. |
Report Facts
Insulin administration errors: 16
Xanax doses administered: 41
Xanax doses not documented: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Medication Aide | Interviewed regarding insulin administration documentation errors for Resident #1. | |
| Health and Wellness Director | Interviewed about expectations for accurate medication documentation and audits of eMAR and controlled substance count sheets. | |
| Administrator | Interviewed about expectations for accurate eMAR documentation and staff education. | |
| Resident #1's Primary Care Provider | Interviewed regarding importance of accurate eMAR for medication dosing and trend monitoring. | |
| Resident #3's Primary Care Provider | Interviewed regarding expectations for accurate documentation of Xanax administration to control anxiety. |
Inspection Report
Capacity: 60
Deficiencies: 12
Jul 18, 2019
Visit Reason
The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds, applicable portions of the 1996 (1997 Revision) 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. This was a Construction Section Biennial Survey.
Findings
Multiple deficiencies were identified related to physical plant and safety including lack of required signage on delayed egress doors, unsafe and unclean outside premises, damaged walls and floors, hazardous latch on closet door, failure to maintain fire safety equipment and electrical emergency lighting, gaps in fire resistant ceilings, mechanical equipment not maintained, and failure to provide working exhaust ventilation in required areas.
Deficiencies (12)
| Description |
|---|
| Exit from Service Corridor - delayed egress door lacked required signage. |
| Outside premises not kept clean and safe; holes and gaps in exterior ceilings or soffits allowing pest entry. |
| Floors and walls not kept in good repair; wall base in Biohazard Room fallen off. |
| Facility not maintained free of hazards; barrel type latch on large walk-in closet door could trap resident. |
| Failure to maintain fire safety equipment in safe operating condition; cross corridor door near Nurse Station did not latch and door hardware damaged. |
| Electrical emergency/safety lighting equipment not maintained; multiple emergency lights did not illuminate on test. |
| Fire resistant rated ceilings had holes or gaps allowing potential spread of fire and smoke. |
| Open junction box near data wall in Service Hall Mechanical Room. |
| Mechanical exhaust grille in Kitchen Janitor Closet coated with dirt and debris. |
| Failure to maintain 18 inches clearance below sprinkler heads; items stored to ceiling in Executive Director's Office closet. |
| Door in Room 603 does not latch when closed. |
| Facility did not provide working exhaust ventilation in required areas; exhaust fan not working and grille falling out in Biohazard/Housekeeping by Laundry. |
Report Facts
Total licensed capacity: 60
Inspection Report
Capacity: 60
Deficiencies: 3
Jul 6, 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 (1997 Revision) 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
The survey found multiple deficiencies related to fire safety systems, including gaps and penetrations in fire resistant rated ceilings, failure of fire resistant rated doors to completely close and latch, and failure to maintain electrical emergency/safety lighting equipment in safe operating condition.
Deficiencies (3)
| Description |
|---|
| Gaps and penetrations in fire resistant rated ceilings in multiple locations including Front Sitting Room, Corridor near Room 104, Main Mechanical Room, 800 Hall Mechanical Room, Kitchen, and Laundry. |
| Fire resistant rated cross corridor doors on 100 Hall and 400 Hall failed to completely close and latch when released from magnetic hold open devices upon fire alarm activation. |
| Electrical emergency lights near hall exit doors on 100 Hall and Med Room did not operate on battery power; exit sign did not illuminate on battery power. |
Report Facts
Licensed capacity: 60
Inspection Report
Follow-Up
Deficiencies: 6
Nov 25, 2015
Visit Reason
This report is of a Followup Survey conducted to verify correction of previously identified deficiencies at Brookdale Berkley Boulevard.
Findings
The followup survey revealed that several deficiencies remained uncorrected, including loose hand grips in bathrooms, accumulation of dust on ventilation grilles, malfunctioning exit signs and emergency lighting, corridor doors held open improperly, and inadequate exhaust ventilation in multiple locations.
Deficiencies (6)
| Description |
|---|
| Loose hand grips (grab bars) at commodes and tubs, including the public restroom commode. |
| HVAC/ventilation grilles and dampers with excessive dust/lint accumulation in the commode room of the spa. |
| Exit sign near Bedroom 801 did not work or relay directional information properly. |
| Emergency lighting did not work on backup power in locations including Mechanical Room 018 and corridor near public toilets. |
| Corridor doors held open by wedges or chairs preventing rapid closing and latching, including doors from Dining Room to Service Corridor, Bedroom 107, and Bedroom 407. |
| Exhaust ventilation system failed to remove the required amount of air in multiple locations including Bedrooms 707, 205, 302, 102, and public restroom near nurse station. |
Inspection Report
Plan of Correction
Capacity: 60
Deficiencies: 19
Aug 19, 2015
Visit Reason
Construction Biennial Survey to assess compliance with physical plant requirements, building codes, and safety regulations for the licensed adult care home facility.
Findings
Multiple physical plant deficiencies were identified including issues with delayed egress locking systems, HVAC fire dampers, unstable hand grips in bathrooms, chronic unpleasant odors, fire extinguisher maintenance, electrical safety in wet locations, fire safety equipment and door maintenance, fire-resistance-rated construction breaches, nurse call system maintenance, and ventilation system performance.
Deficiencies (19)
| Description |
|---|
| Delayed egress locking system missing required components and not operating properly. |
| HVAC system lacked required fire dampers in maintenance closet. |
| Loose hand grips at commodes and tubs affecting resident safety. |
| Chronic unpleasant urine odor in Bedroom 107. |
| HVAC grilles and dampers had excessive dust/lint accumulation and some fire dampers were closed. |
| Fire extinguishers lacked documentation of monthly inspections. |
| Electrical outlets in wet locations lacked ground fault protection (e.g., Beauty Shop). |
| Delayed egress locks on multiple exit doors failed to unlock automatically upon fire alarm activation. |
| Fire alarm heat detector dangling from ceiling in Mechanical Room 403. |
| Exit signs and emergency lighting failed to operate on backup power in multiple locations. |
| Laundry door did not latch properly to contain fire/smoke. |
| Double-egress cross-corridor doors near Mechanical Room 403 and Bio Hazard Room did not latch properly. |
| Breaches in fire-resistance-rated ceiling assembly due to unsealed conduits, holes, and deteriorated ceiling in multiple mechanical and office areas. |
| Corridor doors did not latch properly or were held open by objects or devices preventing containment of smoke/fire. |
| Nurse call pull switch falling out of wall in Bathroom of Bedroom 707. |
| Pantry door locked with hasp and padlock preventing emergency escape. |
| Exhaust ventilation system failed to remove required air volume in multiple bedrooms and public restroom. |
| Electrical power system unsafe due to use of extension cords in Sales and Marketing Manager's Office. |
| Fire sprinkler escutcheon plates missing, improperly covering, or dropped down exposing openings in ceiling. |
Report Facts
Licensed bed capacity: 60
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