Inspection Reports for Our Promise Care Homes at Heritage Hills

The visit was conducted as a complaint investigation regarding the facility's failure to ensure referral and follow-up to meet the acute health care needs of a resident who had a fall and sustained injuries.

The facility was found to have failed in ensuring timely referral and follow-up for Resident #2 who fell and sustained serious injuries, including fractures and bruising. The resident was not sent to the hospital for evaluation for approximately 48 hours, and the family and medical power of attorney were not notified promptly. The resident later died from blunt force injury to the torso, constituting a Type 1 Violation.

The complaint investigation substantiated that the facility failed to notify the medical power of attorney or primary care provider at the time of the fall and delayed hospital evaluation. Resident #2 sustained closed fractures and bruising and passed away approximately two weeks later from blunt force injury to the torso.

The Division of Health Service Regulation conducted a Biennial Survey to assess compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and applicable portions of the 2009 North Carolina Building Code for a Family Care Home licensed for six non-ambulatory residents.

Multiple deficiencies were cited related to building equipment maintenance, safety, and outside premises conditions, including inadequate heat detectors in the attic, lack of running water, inaccessible dryer vent exhaust, dirty windows, uninspected fire extinguishers, unsafe sidewalk conditions, dirty HVAC filters, damaged flooring, unlocked chemical storage, dirty bathroom exhaust fans, malfunctioning windows and blocked emergency egress, foundation vent disrepair, roof debris, overgrown foliage, shed decay, and tripping hazards in the yard.

DHSR Construction Section conducted a Biennial Survey to ensure compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and applicable portions of the 2009 North Carolina Building Code for Residential Care Homes.

The survey found a deficiency related to the absence of handrails on the left side of the front porch, which is not compliant with the applicable building code and family care home rules.

The Adult Care Licensure Section conducted an annual survey of Charles House-Yorktown Elder Care Home on May 2, 2019.

The facility failed to ensure that one of three sampled staff (Staff A) who administered medications completed the required 5, 10, or 15 hour medication aide training course or had complete verification of employment as a medication aide in the previous 24 months.

The Division of Health Service Regulation conducted a Biennial Survey to ensure compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the 2009 North Carolina State Building Code for Small Non-ambulatory Care Facilities.

Deficiencies were cited related to building code compliance including the inability to locate the exterior dryer vent, a non-functioning GFCI outlet in Bath 2, dust accumulation on the exhaust fan in Bath 1, and peeling caulking around the shower in Bath 1. The facility was required to provide documentation of repairs.