Inspection Reports for Prestwick Village
1000 Johns Road Laurinburg, NC 28352, Laurinburg, NC, 28352
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
4.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% better than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Capacity: 100
Deficiencies: 9
Date: Jun 5, 2024
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 and applicable portions of the 2002 Edition of the North Carolina Building Code(s), Institutional Occupancy and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure. This was a Construction Section Biennial Survey.
Findings
Multiple deficiencies were cited related to physical plant conditions including unsafe outside premises, poor housekeeping and furnishings, hazards from improperly stored oxygen bottles, fire safety equipment not maintained in safe and operating condition, failure to maintain electrical emergency lighting, mechanical equipment not working, gaps in fire-resistant doors, and lack of exhaust ventilation in specified spaces.
Deficiencies (9)
Outside premises were not maintained in a clean and safe condition, including a 2" drop in the sidewalk creating a trip hazard and bushes narrowing the sidewalk.
Ceilings were not kept clean and in good repair; cracked and flaking ceiling in dining area.
Facility was not maintained free from hazards; oxygen bottles improperly stored without restraint.
Fire safety equipment was not maintained in a safe and operating condition; corrosion on sprinkler heads, missing escutcheon rings, holes in fire resistant ceilings, painted sprinkler heads.
Electrical emergency/safety lighting equipment not maintained in safe operating condition; emergency light outside Activity Room did not illuminate on test.
Mechanical equipment not maintained in operating condition; air conditioning unit servicing 400 Hall not working.
Failure to maintain fire safety equipment in safe condition; gaps between corridor doors and doors not latching properly.
Use of materials not fire resistant rated allowing fire and smoke to spread; cable bundle penetration sealed with non-fire resistant foam.
Facility did not maintain exhaust ventilation in specified spaces; exhaust fans turned off or not working in multiple areas.
Report Facts
Total licensed capacity: 100
Oxygen bottles improperly stored: 4
Sidewalk drop: 2
Sidewalk narrowing: 24
Section of sidewalk cracked: 4
Gap between corridor doors: 0.25
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Sep 27, 2022
Visit Reason
The Adult Care Licensure Section conducted an annual survey on 09/27/22-09/28/22 to assess compliance with regulations related to nutrition and food service in the facility.
Findings
The facility failed to serve a therapeutic diet as ordered by the Primary Care Provider for 1 out of 1 resident with a mechanical soft diet, resulting in a Type B violation. The dietary staff was not properly trained on modified diet instructions, placing the resident at risk for aspiration.
Deficiencies (1)
Failed to serve a therapeutic diet as ordered by the Primary Care Provider for 1 resident with a mechanical soft diet.
Report Facts
Residents affected: 1
Correction deadline: Nov 12, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | New in role for 2 to 3 weeks, not trained on modified diet recipes | |
| Cook | Followed diet order list but unaware of special diet instructions in recipe book | |
| Primary Care Provider (PCP) | Provided diet order and confirmed resident's risk for aspiration | |
| Interim Administrator | Responsible for ensuring dietary manager training and compliance |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Mar 10, 2020
Visit Reason
The Adult Care Licensure Section and the Scotland County Department of Social Services conducted an annual and follow-up survey on March 10, 2020.
Findings
The facility failed to ensure that 2 of 3 sampled medication aides were competency validated for Licensed Health Professional Support tasks including collecting and testing of fingerstick blood samples, medication administration through injections, and medication inhalation by machine.
Deficiencies (1)
Failed to ensure 2 of 3 sampled medication aides were competency validated for Licensed Health Professional Support tasks including collecting and testing of fingerstick blood samples, medication administration through injections, and medication inhalation by machine.
Report Facts
Sampled medication aides: 3
Medication aides failed competency validation: 2
Dates of medication administration documentation: Jan 9, 2020
Dates of medication administration documentation: Mar 8, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Medication Aide | Failed competency validation for LHPS tasks; administered medications without documented validation |
| Staff E | Medication Aide | Failed competency validation for LHPS tasks; administered medications without documented validation |
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Apr 10, 2019
Visit Reason
The Adult Care Licensure Section and the Scotland County Department of Social Services conducted an annual survey and complaint investigation on 04/09/19-04/10/19.
Complaint Details
The inspection included a complaint investigation related to supervision and competency validation.
Findings
The facility failed to ensure competency validation for Licensed Health Professional Support tasks, failed to provide supervision according to assessed needs for a resident with frequent falls, failed to clarify diet orders for residents with multiple diet orders, failed to maintain an accurate therapeutic diet list, failed to clarify medication orders for residents returning from hospital, and failed to administer medications as ordered including timing and order verification.
Deficiencies (6)
Facility failed to ensure 1 of 5 sampled staff was competency validated by a registered nurse with return demonstration prior to performing Licensed Health Professional Support tasks related to transferring a non-ambulatory resident.
Facility failed to provide supervision according to the resident's assessed needs, care plan, and current symptoms for 1 of 2 sampled residents with a history of falls, resulting in sixteen documented falls with four requiring emergency department visits.
Facility failed to assure diet orders were clarified for 1 of 5 sampled residents with multiple diet orders, resulting in confusion and lack of appropriate menus for combined diets.
Facility failed to maintain an accurate and current listing of residents with physician-ordered therapeutic diets for guidance of food service staff for 1 of 5 sampled residents.
Facility failed to contact the physician to clarify medication orders for 1 of 8 residents observed during medication pass, resulting in administration of potassium chloride and Vitron-C without physician orders.
Facility failed to administer medications as ordered and in accordance with facility policy for 2 of 8 residents, including administration of medications without orders and failure to administer fingerstick blood sugar before meals as ordered.
Report Facts
Documented falls: 16
Medication error rate: 13
Medication administration opportunities: 31
Medication errors: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Maintenance Director | Named in competency validation deficiency related to transferring Resident #4. |
| Resident Care Coordinator | Resident Care Coordinator | Responsible for medication order review and supervision of medication aides. |
| Medication Aide | Medication Aide | Involved in medication administration and clarification process. |
| Dietary Manager | Dietary Manager | Responsible for diet order review and therapeutic diet list maintenance. |
| Administrator | Facility Administrator | Provided interviews regarding facility policies and oversight. |
| Primary Care Physician | Physician | Provided orders and clarification for residents' medications and diets. |
| Pharmacist | Contracted Pharmacist | Provided information on medication order processing and pharmacy policies. |
Inspection Report
Capacity: 100
Deficiencies: 10
Date: May 23, 2018
Visit Reason
The facility was surveyed for conformance with applicable portions of the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the 2002 Edition of the North Carolina Building Code(s), Institutional Occupancy and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure. This was a Construction Section Biennial Survey.
Findings
The survey identified multiple deficiencies related to physical plant conditions including lack of current sanitation inspection reports, damaged furnishings and floors, improper storage of oxygen tanks, fire safety equipment not maintained in operating condition, mechanical and plumbing equipment issues, electrical safety concerns, and inadequate exhaust ventilation in required areas.
Deficiencies (10)
Facility did not maintain current sanitation inspection reports; most recent report dated June 3, 2016.
Furnishings not maintained in good repair; torn mesh on screened porch door and cracked/broken floor tiles in dining room.
Facility not maintained free from hazards; oxygen tanks improperly stored unsecured in crates and on floor.
Fire safety equipment not maintained in operating condition; items stored too close to sprinkler heads and holes/gaps in fire rated ceilings.
Fire safety doors do not close and latch properly, impeding smoke/fire containment.
Mechanical equipment not maintained; exhaust fans with heavy dust accumulation.
Plumbing equipment not maintained; loose toilet and improper drain line configurations without required air gaps.
Electrical emergency/safety equipment not maintained; incompatible electrical panel blanks, non-powered exterior GFCI, unsecured cables.
Electrical emergency/safety lighting not maintained; emergency light bulb burned out.
Exhaust ventilation not provided or not working in required areas including janitor closet, bath, and laundry room.
Report Facts
Licensed capacity: 100
Oxygen tanks stored: 26
Deficiencies cited: 10
Inspection Report
Original Licensing
Capacity: 100
Deficiencies: 2
Date: Jun 9, 2016
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 and applicable portions of the 2002 Edition of the North Carolina Building Code(s), Institutional Occupancy and the 2004 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure.
Findings
The survey found deficiencies related to failure to maintain the facility's fire safety equipment in a safe operating condition, including open HVAC grilles that do not resist smoke passage and a wall mounted emergency light that did not illuminate during testing.
Deficiencies (2)
Failure to maintain the facility's fire safety equipment in a safe operating condition, including open HVAC type grilles that do not resist the passage of smoke installed at the top and bottom of the door to the water heater closet.
Failure to maintain electrical emergency/safety related equipment in operating condition, specifically a wall mounted emergency light (EMR 12) in the Dining Room Hall that did not illuminate when tested.
Report Facts
Total licensed capacity: 100
Viewing
Loading inspection reports...
