Inspection Reports for Parkview Retirement Center, Inc.
1801 Wicker St, Sanford, NC 27330, NC, 27330
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Inspection Report
Annual Inspection
Census: 68
Deficiencies: 4
Jan 15, 2025
Visit Reason
The Adult Care Licensure Section conducted an annual survey of Parkview Retirement Center from 01/14/25 to 01/15/25 to assess compliance with state regulations.
Findings
The facility was found to have multiple deficiencies including failure to maintain hot water temperatures within the required range, incomplete quarterly Licensed Professional Health Support evaluations by qualified staff, medication administration errors including improper insulin pen technique and incorrect vitamin D3 dosing, and failure to follow infection control procedures during medication administration.
Deficiencies (4)
| Description |
|---|
| Failed to ensure water temperatures were maintained between 100 to 116 degrees Fahrenheit in residents' bathrooms; 8 of 11 fixtures had temperatures ranging from 117.7 to 127.6 degrees F. |
| Failed to ensure quarterly Licensed Professional Health Support evaluations were completed by a registered nurse, occupational therapist, or physical therapist for 3 of 5 sampled residents. |
| Failed to administer medications as ordered for 1 of 4 residents observed, including improper insulin pen administration technique and incorrect vitamin D3 dosing. |
| Failed to implement infection control measures during medication pass; medication aide dropped tablets on medication cart surface and returned them to the medication bottle. |
Report Facts
Residents present: 68
Medication error rate: 8
Water temperature fixtures out of range: 8
Quarterly LHPS evaluations missing: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Medication Aide | Observed improperly administering insulin pen and returning dropped tablets to medication bottles | |
| Resident Care Coordinator (LPN) | Completed Licensed Professional Health Support evaluations but was unaware they must be done by RN, PT, or OT | |
| Administrator (RN) | Conducted medication and infection control training; unaware of LHPS evaluation requirements | |
| Plumber | Adjusted water heater temperatures on 01/14/25 and 01/15/25 |
Inspection Report
Capacity: 116
Deficiencies: 11
May 29, 2019
Visit Reason
The visit was a Construction Section Biennial Survey to assess conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the North Carolina Building Code and licensing rules in effect at the time of initial licensure and subsequent additions.
Findings
Multiple deficiencies were identified related to physical plant conditions including failure to meet magnetic locking system requirements, lack of hand grips in bathrooms, unsafe outside premises, poor housekeeping and maintenance of furnishings, trip hazards, fire safety system failures including holes in fire-rated assemblies and malfunctioning doors, plumbing issues, and inadequate exhaust ventilation in required areas.
Deficiencies (11)
| Description |
|---|
| Not all staff responsible for evacuation carried emergency release switch keys for the magnetic locking system. |
| Hand grips were not installed at all commodes accessible to residents, specifically in Room 207. |
| Outside premises were not maintained in a safe condition; a gutter drainage pipe was disconnected outside the 100 wing. |
| Ceilings were not kept in good repair; holes and damaged soffit near main entry and damaged grille at kitchen corridor door. |
| Furnishings were not kept in good repair; multiple doors damaged or difficult to open, grease on kitchen exhaust hood, door sweeps missing or damaged allowing pest entry. |
| Walls and floors were not maintained in good repair; exterior wall vent falling out, floor tile shifted exposing slab and damaging cabinet base, doors dragging on frames. |
| Facility was not maintained free of obstructions and hazards; missing or bent transition strips creating trip hazards, broken towel bar with sharp edges, loose and bunching carpet. |
| Failure to maintain building's fire safety systems in a safe condition; holes and gaps around sprinkler heads and doors, unsealed cable penetrations, doors not closing or latching properly. |
| Fire safety components not maintained operable; doors blocked or held open by unapproved methods, preventing proper closure. |
| Plumbing equipment not maintained in safe condition; loose toilet in Room 404. |
| Facility did not provide exhaust ventilation in required areas; cleaning agents stored in closet by Room 207 with no ventilation, exhaust fan in Room 316 not functioning properly. |
Report Facts
Total licensed capacity: 116
Inspection Report
Capacity: 116
Deficiencies: 9
May 4, 2017
Visit Reason
The report documents a Construction Section Biennial Survey conducted to assess the facility's conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable North Carolina Building Codes and licensing rules.
Findings
The survey identified multiple deficiencies including hazards due to unsafe locks on freezer and cooler doors, gaps and penetrations in fire resistant ceilings, failure to maintain fire safety and electrical emergency equipment in safe operating condition, doors that do not close or latch properly to resist smoke passage, exposed electrical wiring, and failure to provide required exhaust ventilation in certain resident bathrooms.
Deficiencies (9)
| Description |
|---|
| Kitchen walk-in freezer and cooler have hasp type locks defeating safety devices allowing potential entrapment. |
| Gaps and penetrations in fire resistant rated ceilings in multiple locations including mechanical room, pantry, kitchen, hallways, electrical room, laundry room, and near beauty salon. |
| Wall mounted emergency light adjacent to Room 104 did not operate on battery power. |
| Illuminated exit sign in new wing living area did not operate on battery power. |
| Ceiling smoke detector in serving kitchen detached and hanging by wiring. |
| Doors in 500 Hall Dining Room and serving kitchen do not close or latch properly, with gaps that could allow smoke passage. |
| Door from Room 506 to corridor hits door frame preventing complete closure and latching. |
| Wall mounted electrical outlets behind tubs in Whirlpool Room #2 and 200 Hall Laundry pulled away from wall possibly exposing energized wires. |
| Exhaust fans in resident bathrooms in Rooms 305 and 506 are not working. |
Report Facts
Total licensed capacity: 116
Inspection Report
Annual Inspection
Deficiencies: 4
Jul 29, 2016
Visit Reason
The Adult Care Licensure Section conducted an annual survey of Parkview Retirement Center on July 27-29, 2016 to assess compliance with state regulations for licensed health professional support tasks, wound care, physical restraints, and other care requirements.
Findings
The facility failed to ensure non-licensed staff were competency validated to apply debriding agents and perform wound care on residents with Stage IV pressure ulcers. Quarterly Licensed Health Professional Support (LHPS) evaluations were incomplete or untimely for multiple residents. The facility also failed to properly assess, document, and care plan for the use of physical restraints (bedrails) for one resident. Several deficiencies were noted in care planning, assessments, and staff training related to wound care and restraint use.
Severity Breakdown
Type B Violation: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Non-licensed staff were not competency validated to apply debriding agents Medihoney and Santyl or perform wound care and packing for residents with Stage IV pressure ulcers. | Type B Violation |
| Quarterly Licensed Health Professional Support (LHPS) evaluations were not completed within 30 days of need and lacked physical assessments, progress evaluations, and care recommendations for residents with LHPS tasks. | — |
| Failure to document assessment and care planning through a team process and attempted alternatives prior to use of physical restraints (bedrails) for a resident. | — |
| Failure to document medical symptoms, alternatives tried, least restrictive restraint, and family involvement related to physical restraint use. | — |
Report Facts
Dates of survey: 2016-07-27 to 2016-07-29
Stage IV pressure ulcer size: 7.5
Stage IV pressure ulcer size: 7
Stage II pressure ulcer size: 2.5
Number of hospice skilled nurse visits: 33
Number of skilled nurse visits without wound assessment: 27
Number of LHPS evaluations missing wound assessment: 3
Admission date: May 18, 2016
Admission date: Jun 15, 2015
Admission date: Oct 20, 2014
LHPS evaluations missing: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Medication Aide | Performed wound care without competency validation to apply debriding agents |
| Staff C | Medication Aide | Performed wound care without competency validation to apply debriding agents |
| Co-Administrator | Registered Nurse | Responsible for LHPS validations and training; unaware of limitations on wound care tasks for medication aides |
| Facility LPN | Licensed Practical Nurse | Provided training for medication aides; unaware of limitations on wound care tasks for medication aides |
| Director of Operations | Hospice Organization | Provided information on hospice skilled nursing visits and wound care oversight |
| Physical Therapist | Provided physical therapy to Resident #1 | |
| Personal Care Aide | Provided care and transfers for Resident #3 and Resident #1 |
Inspection Report
Capacity: 116
Deficiencies: 5
Feb 3, 2015
Visit Reason
The facility was surveyed for conformance with the applicable portions of the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds, the applicable portions of the 1987/1996 Minimum Standards and Regulations for Homes for the Aged, and the North Carolina State Building Code(s) - Institutional Occupancy as part of a Biennial Construction Survey.
Findings
Multiple deficiencies were observed related to building equipment maintenance including unsafe plumbing cross connections, unmaintained mechanical systems with excessive particulate build-up, unsecured flue collar, doors that do not latch, and lack of fire-resistance in ceiling penetrations and ductwork, potentially affecting resident and staff safety.
Deficiencies (5)
| Description |
|---|
| Facility plumbing equipment was not maintained in a safe manner by allowing cross connects, potentially siphoning wastewater into the domestic water system. The spray hose for the hair wash sink in the Salon Room lacks a vacuum breaker. |
| Facility mechanical system not maintained; HVAC and mechanical exhaust fan return-air grilles and ductwork collars have excessive particulate build-up. |
| Facility ceiling penetrations not maintained safely; flue collar not secured and sealed where a flue pipe penetrates the one-hour roof/ceiling assembly in the Storage Room. |
| Doors in Rooms 2 and 521 do not latch, compromising smoke and fire containment. |
| Ceiling penetrations through the one-hour roof/ceiling assembly into the attic have no fire-resistance, including make-up air ductwork for gas appliances terminating in the attic. |
Report Facts
Licensed capacity: 116
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