Inspection Reports for Priddy Manor

The document is a plan of correction indicating that all previously identified deficiencies have been corrected based on documentation received on April 1, 2024.

All deficiencies previously cited have been corrected and no further action is required.

The visit was a Construction Section Biennial Survey conducted to ensure compliance with the 1996 Rules for the Licensing of Adult Care Homes and applicable building codes.

Deficiencies were cited related to the facility's exhaust ventilation system, specifically that exhaust fans in several areas were not functioning, potentially causing odors and mildew.

The inspection was a Construction Section Biennial Survey conducted to assess compliance with the 1996 Rules for the Licensing of Adult Care Homes, the 2005 Licensing of Adult Care Homes of Seven or More Beds, and the 1996 North Carolina State Building Code for Group I - Institutional Unrestrained Occupancy.

Multiple deficiencies were cited related to physical plant and safety issues including obstructed exit discharge paths, maintenance hazards such as sharp mounting brackets on exit doors, malfunctioning smoke barrier doors, obstructed fire alarm system components, emergency lighting failures, fire safety penetrations without proper firestopping, sprinkler system issues, and corridor doors being held open improperly. Some deficiencies were corrected before surveyors departed.

The Adult Care Licensure Section and the Surry County Department of Social Services conducted a complaint investigation on November 7-8, 2017 regarding a resident potentially ingesting a hazardous deodorizing agent.

The facility failed to ensure cleaning supplies that may be hazardous if ingested, inhaled, or handled were locked and monitored by staff, resulting in one resident potentially ingesting a deodorizing agent. The resident experienced vomiting after the incident and later passed away. The facility lacked a chemical storage policy and housekeeping carts were sometimes left unlocked.

The investigation was triggered by a complaint regarding Resident #3 potentially ingesting a deodorizing agent on 10/03/17. Poison control was called and indicated the chemical was not harmful. Resident #3 experienced vomiting after the incident and was hospitalized after a fall on 10/07/17. Resident #3 was transferred to inpatient hospice and died on 10/10/17. Family members reported vomiting after the incident. Facility staff interviews revealed housekeeping carts were sometimes left unlocked and the deodorizer was left unattended. Video footage was reviewed but limited. The facility did not have a chemical storage policy at the time.

This document is a Statement of Deficiencies and Plan of Correction following a Construction Section Biennial Survey conducted on May 2, 2017, to ensure the facility meets applicable adult care home licensing rules and North Carolina State Building Codes.

The facility failed to meet multiple physical plant and safety requirements including lack of a special locking system map, improper handling of portable oxygen cylinders, dry waste traps, missing documentation of fire suppression system inspections, inadequate fire drill rehearsals, malfunctioning exit signs, impaired sprinkler system components, compromised fire-rated walls and ceilings, dirty and incomplete smoke detectors, corridor doors not closing properly, lint-covered sprinkler heads, and a non-functioning emergency release warning device.

This is a Biennial Construction Survey conducted to assess compliance with the 1996 Rules for the Licensing of Adult Care Homes, the 2005 Licensing of Adult Care Homes of Seven or More Beds, and the 1996 North Carolina State Building Code(s) for Group I - Institutional Unrestrained Occupancy.

The facility was found to have multiple deficiencies related to building safety and maintenance, including unsupported oxygen bottles, non-operational GFCI receptacle, lack of combustion air provision for the gas water heater, missing fire-stopping around insulated pipes and conduits, and use of a portable space heater. Some deficiencies were corrected prior to the surveyors leaving the facility.