Deficiencies (last 2 years)
Deficiencies (over 2 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
NC DHSR Star Rating History
| Date | Rating | Score | Merits | Demerits | Type |
|---|---|---|---|---|---|
| Jul 30, 2024 | 99.5 | 5.5 | 6 | Annual Inspection | |
| Nov 1, 2022 | 102.5 | 2.5 | 0 | Annual Inspection | |
| Aug 9, 2021 | 83 | 10 | 0 | Follow-Up Inspection | |
| Aug 9, 2021 | 73 | 0 | 27 | Re-Issued |
Inspection Report
Biennial Survey
Census: 6
Capacity: 6
Deficiencies: 4
Date: May 27, 2025
Visit Reason
DHSR Construction Section conducted a Biennial Survey to ensure compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the applicable portions of the 2018 North Carolina Building Code for small non-ambulatory care facilities.
Findings
The survey identified deficiencies including non-compliance with fire safety rehearsal requirements, dirty return filters, a loose toilet base, and lint buildup in the exterior dryer vent causing potential safety and pest issues.
Deficiencies (4)
Fire drills are conducted on the same day during a staff meeting for all three shifts with only one full evacuation annually, not meeting the requirement for at least four rehearsals per year on each shift.
Return filters in each room were dirty and not routinely replaced or cleaned.
Toilet was loose at the base in the Jack and Jill bathroom, posing a risk of leaks and slipping hazards.
Exterior dryer cap had lint buildup causing the flap to stay partially open, risking pest infestation and blocked air discharge.
Report Facts
Number of residents: 6
Number of fire rehearsals required: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Myers | Surveyor | Reported the findings of the DHSR Construction Section Biennial Survey |
Inspection Report
Routine
Deficiencies: 3
Date: Apr 15, 2021
Visit Reason
The Adult Care Licensure Section conducted an initial survey of Nurturing Nest Family Care Home on 04/15/2021 to assess compliance with personal care, health care, medication administration, and residents' rights regulations.
Findings
The facility failed to provide adequate personal care and repositioning to a resident resulting in an open wound and inflammation; failed to ensure referral and follow-up for acute health care needs including therapy and fall prevention; and failed to administer prescribed medication for agitation/aggression as ordered, placing residents at risk of harm.
Deficiencies (3)
Failed to provide personal care and repositioning to Resident #2 who required total care, resulting in an open wound to the left buttock and inflammation of the left great toe.
Failed to ensure referral and follow-up for acute health care needs of Residents #1 and #2, including failure to notify PCP of episodes of aggression and agitation, failure to provide ordered physical and occupational therapy, failure to use ordered fall mat, and failure to report wounds.
Failed to administer Clonazepam as ordered for Resident #1 for agitation/aggression, with medication not given for 10 of 12 days despite documented episodes.
Report Facts
Episodes of agitation/aggression: 22
Days medication not administered: 10
Medication tablets remaining: 23
Wound size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Facility Administrator was out of state during survey; responsible for reviewing PCP notes and processing orders. | |
| Owner/Approved Administrator | Facility Owner served as point of contact and filled in as Administrator during survey; involved in communication about care and deficiencies. | |
| Personal Care Aide (PCA) | Provided care to residents, documented shift reports, and reported lack of knowledge about wounds and medication administration. | |
| Medication Aide (MA) | Administered medications and reported not always giving Clonazepam per family request; unaware of wounds on Resident #2. | |
| Hospice Nurse | Unaware of wounds on Resident #2 until survey; expected to be informed of new wounds. | |
| Primary Care Provider (PCP) for Resident #1 | Not informed timely of Resident #1's episodes of agitation/aggression or medication administration issues; expected notification for evaluation and medication changes. | |
| Primary Care Provider (PCP) for Resident #2 | Not informed of Resident #2's wounds until survey; expected notification for wound evaluation. |
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