Inspection Reports for Navion of Rocky Mount
650 Goldrock Rd, Rocky Mount, NC 27804, United States, NC, 27804
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Inspection Report
Follow-Up
Deficiencies: 0
May 21, 2024
Visit Reason
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
Follow-Up
Deficiencies: 3
Dec 12, 2023
Visit Reason
This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to building maintenance and safety.
Findings
Deficiencies remain in the facility including damage around a sprinkler head in Mechanical Room 408, failure to maintain electrical emergency lighting with two exterior emergency lights not illuminating on test, and a corridor door in the laundry area that does not close and latch properly.
Deficiencies (3)
| Description |
|---|
| Ceilings were not kept in good repair; damage around sprinkler head with a gap and peeling finish in Mechanical Room 408. |
| Electrical emergency/safety lighting equipment not maintained in safe operating condition; two exterior emergency lights at exits did not illuminate on test. |
| Failure to maintain fire safety equipment; laundry corridor door hits frame and does not close and latch, potentially exposing occupants to smoke or fire. |
Report Facts
Date of survey completion: Dec 12, 2023
Date of emergency lighting test failure observation: Sep 6, 2023
Inspection Report
Follow-Up
Deficiencies: 11
Sep 6, 2023
Visit Reason
The report documents a Biennial Follow Up Construction Survey conducted to verify correction of previous deficiencies and identify any new deficiencies related to physical plant and safety code compliance.
Findings
The facility was found to have multiple deficiencies including missing delayed egress door signage, non-functional soiled utility room sink, unsafe and unmaintained outside premises, damaged ceilings, removed or non-functioning emergency lighting and exit signs, fire safety doors not closing properly, unsealed penetrations in fire-resistant ceilings, exposed electrical wiring, missing smoke detectors, and obstructions below sprinkler heads.
Deficiencies (11)
| Description |
|---|
| Missing delayed egress door signs at main entry and 800 Hall exit doors. |
| Soiled utility room sink disconnected and unclean with gray residue. |
| Outside grounds not maintained; fascia trim and soffit damaged allowing pest entry. |
| Ceilings not kept in good repair; damage around sprinkler head in Mechanical Room 408. |
| Exit sign over interior Dining Room door removed. |
| Two exterior emergency lights and emergency light by Room 404 did not illuminate on test. |
| Fire safety doors (e.g., corridor door by Beauty Salon, Laundry corridor door) do not close and latch properly. |
| Unsealed penetrations in fire-resistant ceilings in Laundry Room, Storage at Laundry, Room 706, Room 205 Bath, and Kitchen Pantry. |
| Open junction boxes with exposed wires in Riser/Water Heater Room; temperature control panels off on water heaters. |
| Smoke detector removed from 500 Hall back hall and not replaced. |
| Boxes stacked within 18 inches of ceiling in 200 Hall Kitchen Storage obstructing sprinkler heads. |
Inspection Report
Annual Inspection
Deficiencies: 1
Sep 30, 2021
Visit Reason
The Adult Care Licensure Section conducted an annual survey of the facility on 09/29/21-09/30/21 to assess compliance with regulations.
Findings
The facility failed to serve therapeutic diets as ordered by the physician for 1 of 3 sampled residents (Resident #2) who had an order for a carbohydrate controlled diet. Observations, record reviews, and interviews revealed that Resident #2 was served meals inconsistent with the prescribed diabetic diet, including inappropriate desserts and meal components.
Deficiencies (1)
| Description |
|---|
| Failed to serve therapeutic diets as ordered by the physician for Resident #2 with a carbohydrate controlled diet. |
Report Facts
FSBS results range: 314
FSBS results range: 316
FSBS results range: 355
Date of survey completion: Sep 30, 2021
Inspection Report
Capacity: 60
Deficiencies: 11
Oct 2, 2019
Visit Reason
The inspection was a Construction Section Biennial Survey conducted to assess compliance with licensure and code requirements applicable to the facility, including the 1996 Rules for Licensing of Domiciliary Homes and the 1996 North Carolina State Building Code.
Findings
Multiple deficiencies were cited related to physical plant and safety issues including failure to meet delayed egress door signage and operation requirements, inadequate exit signage, unsafe and unclean outside premises, poor housekeeping and maintenance of ceilings and floors, hazards from improperly stored oxygen bottles, fire safety equipment not maintained in operating condition, fire door malfunctions, impediments to door closure, gaps in smoke compartment doors, exit doors not easily operable, and lack of working exhaust ventilation in required areas.
Deficiencies (11)
| Description |
|---|
| Delayed egress doors lacked required signage and did not operate as a delayed egress system; emergency manual override switch missing. |
| Exit signs not readily visible indicating direction of exit access in required corridor. |
| Outside grounds not maintained in a clean and safe condition; loose aluminum ceiling allowing pest entry. |
| Ceilings not kept clean and in good repair; lint accumulation on exhaust fan grill; water damage and staining on ceiling. |
| Floors not kept in good repair; missing transition strip and unraveling carpet edge. |
| Facility not maintained free from hazards; oxygen bottles improperly stored without restraint. |
| Life safety equipment not maintained in operating condition; fire alarm panel indicated trouble; holes and gaps in fire resistant ceilings. |
| Fire doors did not latch properly or were damaged; doors held open with wedges or blocks impeding closure. |
| Resident room doors had gaps between door and frame stops, compromising smoke resistance. |
| Exit doors not easily operable; doors sticking and requiring excessive force to open or close. |
| Required exhaust ventilation not working in multiple areas including service hall toilet, guest bathroom, restroom beside spa, and spa. |
Report Facts
Licensed capacity: 60
Oxygen bottles improperly stored: 5
Gap size: 0.75
Door delay time: 15
Inspection Report
Census: 60
Capacity: 60
Deficiencies: 5
Oct 12, 2017
Visit Reason
This is a Construction Section Biennial Survey to ensure the facility meets the 1996 Rules for Licensing of Domiciliary Homes and the 1996 North Carolina State Building Code, as well as applicable portions of the 2005 Rules for Adult Care Homes of Seven or More Beds.
Findings
The facility failed to maintain the fire-rated roof/ceiling assembly, fire detection devices, emergency lighting, emergency exit signage, and exhaust ventilation in a safe and operating condition, with specific deficiencies noted in multiple mechanical rooms, hallways, and the housekeeping closet.
Deficiencies (5)
| Description |
|---|
| Failed to maintain the fire-rated roof/ceiling assembly construction in a safe condition with penetrations and construction failures in Mechanical Rooms 402 and 408. |
| Smoke detector in Mechanical Room 408 is not secured to the ceiling. |
| Emergency wall lights at Salon, 400 Hall, and Front Entry Porch did not illuminate in emergency mode. |
| Exit signage at Shower Hall/100 Hall, 300 Hall, and 800 Hall did not illuminate in emergency mode. |
| Mechanical exhaust fan is not exhausting interior air in the Main Housekeeping Closet. |
Inspection Report
Annual Inspection
Deficiencies: 4
Aug 16, 2017
Visit Reason
The Adult Care Licensure Section and the Nash County Department of Social Services conducted an annual and follow-up survey on August 15, 2017 through August 16, 2017.
Findings
The facility failed to provide adequate supervision and care for Resident #3, resulting in 7 unwitnessed falls in 4 months, including 2 falls with injury. Additionally, the facility failed to administer medications as ordered for Resident #2 and failed to notify the County Department of Social Services of incidents requiring emergency medical evaluation for Resident #3.
Severity Breakdown
Type A2 Violation: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to assure supervision of Resident #3 according to care plan, resulting in 7 falls in 4 months including 2 with injury. | Type A2 Violation |
| Failure to administer medications as ordered for Resident #2, including missing orders and undocumented administration of Remeron (Mirtazapine). | — |
| Failure to notify County Department of Social Services of accidents or incidents resulting in injury requiring emergency medical evaluation for Resident #3. | — |
| Failure to assure all residents received adequate and appropriate care and supervision in compliance with relevant laws and regulations. | — |
Report Facts
Falls: 7
Falls with injury: 2
Medication tablets missing: 3
Medication delivery: 15
Medication administration days: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Health and Wellness Director | Health and Wellness Director | Interviewed regarding falls policy, medication administration, and incident reporting. |
| Executive Director | Executive Director | Interviewed regarding supervision and falls of Resident #3. |
| Personal Care Aide | Personal Care Aide | Interviewed regarding supervision and falls of Resident #3. |
| Medication Aide | Medication Aide | Interviewed regarding falls policy and medication administration for Resident #3. |
| Supervisor-In-Charge | Supervisor-In-Charge | Interviewed regarding medication administration for Resident #2. |
| Pharmacy Technician | Pharmacy Technician | Interviewed regarding medication orders and MAR system. |
| Pharmacist | Pharmacist | Interviewed regarding medication review and missing orders for Resident #2. |
Inspection Report
Annual Inspection
Deficiencies: 1
Mar 9, 2016
Visit Reason
The Adult Care Licensure Section conducted an annual survey of the facility on March 8-9, 2016 to assess compliance with nutrition and food service regulations.
Findings
The facility failed to ensure the kitchen's reach-in cooler, reach-in freezers, and deep freezer were cleaned and protected from contamination, as evidenced by dried stains, food crumbs, ice buildup, and a broken valve. The facility cleaned the equipment by the second day of the survey and had a cleaning schedule, though it was not located or officially verified by the administrator.
Deficiencies (1)
| Description |
|---|
| The kitchen's reach-in cooler, reach-in freezer, and deep freezer were not cleaned and protected from contamination, with dried stains, food crumbs, ice buildup, and a broken valve observed. |
Report Facts
Dates of cleaning: Reach-in cooler, reach-in freezers, and deep freezer were last cleaned on the night of 3/8/16 and two weeks prior (between 2/21/16-2/27/16).
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Supervisor | Interviewed regarding cleaning schedule and observations of freezer conditions. | |
| Administrator | Interviewed regarding supervision of dietary staff and knowledge of cleaning schedule and broken valve. |
Inspection Report
Census: 60
Capacity: 60
Deficiencies: 5
Dec 8, 2015
Visit Reason
This is a Biennial Construction Survey conducted to assess compliance with the 1996 Rules for the Licensing of Domiciliary Homes, the 1996 North Carolina State Building Code, and the 2005 Rules for Adult Care Homes of Seven or More Beds.
Findings
The facility was found deficient in maintaining proper handwashing equipment at the Nurse's Station, securing oxygen containers to prevent hazards, maintaining fire resistance of building components, ensuring emergency lights operate on battery power, and maintaining electrical receptacles safely.
Deficiencies (5)
| Description |
|---|
| Nurse's Station sink is not equipped with lever handles, failing handwashing equipment requirements. |
| Oxygen bottles in Rooms 303 and 701 are not properly supported, creating hazards. |
| The 45-minute corridor door to the Storage Room/Nurse's Office is propped open with a wedge, compromising fire resistance. |
| Emergency lights (EL #39, outside Room 711, EL #38, EL #37, EL #36, EL #35, EL #00) do not illuminate on battery power. |
| Two GFCI receptacles in the courtyard outside the Back Gallery are not secured and not waterproof; the GFCI receptacle above the dishwashing sink does not trip when tested. |
Report Facts
Licensed capacity: 60
Emergency lights not working: 7
Oxygen bottle locations: 2
GFCI receptacles not secured: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Greg Cates | Conducted the Biennial Construction Survey on December 8, 2015. |
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