Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
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
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)
| Description |
|---|
| 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
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.
Severity Breakdown
Type B Violation: 2
Type A2 Violation: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| 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. | Type B Violation |
| 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. | Type A2 Violation |
| Failed to administer Clonazepam as ordered for Resident #1 for agitation/aggression, with medication not given for 10 of 12 days despite documented episodes. | Type B Violation |
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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