Inspection Reports for Ranson Ridge Assisted Living & Memory Care
13910 Hunton Ln, Huntersville, NC 28078, NC, 28078
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Inspection Report
Annual Inspection
Deficiencies: 1
Apr 9, 2025
Visit Reason
The Adult Care Licensure Section conducted an annual survey and follow-up survey on April 08-09, 2025 to assess compliance with medication administration regulations.
Findings
The facility failed to administer medications as ordered for one resident during the medication pass, resulting in a medication error rate of 3.4%. The medication aide administered a lower dose of quetiapine than prescribed due to not verifying the dosage correctly.
Deficiencies (1)
| Description |
|---|
| Failed to administer medications as ordered for 1 of 3 residents observed during medication pass related to medication to treat mood disorders. |
Report Facts
Medication error rate: 3.4
Medication opportunities observed: 29
Tablets remaining: 40.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Medication Aide | Administered incorrect dosage of quetiapine to Resident #6 | |
| Special Care Unit Coordinator | Provided information on medication administration training and procedures | |
| Administrator | Discussed expectations for medication administration and handling discrepancies |
Inspection Report
Follow-Up
Deficiencies: 0
Apr 9, 2024
Visit Reason
Report of a Construction Section Biennial Follow-Up Survey conducted on April 9, 2024.
Findings
All deficiencies identified in the previous inspection have been corrected. No further action is required.
Inspection Report
Capacity: 100
Deficiencies: 10
Jan 18, 2024
Visit Reason
This document is a Construction Section Biennial Survey conducted to assess compliance with the 2005 Rules for the Licensing of Adult Care Homes and the 2012 North Carolina State Building Code for Ranson Ridge Assisted Living & Memory Care.
Findings
Multiple deficiencies were identified including failure of electromagnetic locks to release during fire alarm activation, lack of wanderer alarms on exit doors, housekeeping issues such as dust accumulation and floor damage, improper storage of oxygen bottles, incomplete fire safety rehearsals, electrical outlets without ground fault interrupters, fire safety equipment and mechanical systems not maintained in safe operating condition, and inadequate exhaust ventilation in specified areas.
Deficiencies (10)
| Description |
|---|
| Electromagnetic locks on doors did not release upon fire alarm activation or emergency release switch activation. |
| Exit doors accessible by residents were not equipped with sounding devices activated when doors are opened despite presence of disoriented or wandering residents. |
| Ceilings had heavy dust accumulation on radiation dampers; floors had cracks and damaged cove base. |
| Oxygen bottles were improperly stored unsecured on the floor. |
| Fire safety rehearsals were not conducted quarterly on each shift and records lacked required details. |
| Electrical outlets in wet locations lacked ground fault circuit interrupters (GFCI). |
| Fire safety systems had gaps and holes in fire-resistant ceilings and walls; electrical outlets near water did not provide shock protection. |
| Fire doors did not close properly; sprinkler heads had dust and cobwebs; dryer exhaust ducts were disconnected or blocked. |
| Fire safety equipment including hood suppression system was not inspected or maintained properly; suppression nozzles were misdirected. |
| Exhaust ventilation was not maintained in specified spaces causing potential humidity and odor issues. |
Report Facts
Licensed capacity: 100
Unsecured oxygen bottles: 3
Fire drills missing: 2
Dryer exhaust ducts: 3
Inspection Report
Complaint Investigation
Deficiencies: 2
Aug 30, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding an allegation that a Personal Care Aide (PCA) physically abused Resident #1 by hitting him multiple times with a cell phone in the face and head.
Findings
The facility failed to protect Resident #1 from physical abuse by allowing the PCA to continue working after the allegation. The facility also failed to notify the local Department of Social Services and law enforcement promptly. This failure placed residents at substantial risk and constitutes a Type A2 violation.
Complaint Details
The complaint investigation substantiated that Resident #1 was assaulted by a PCA who struck him multiple times with a cell phone. The facility delayed notification to authorities and allowed the accused PCA to continue working until suspension after investigation. The Administrator was suspended pending investigation outcome.
Severity Breakdown
Type A2 Violation: 1
Citation: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to protect Resident #1 from physical abuse by allowing a PCA to continue working after being accused of hitting the resident multiple times with a cell phone. | Type A2 Violation |
| Facility failed to notify the Department of Social Services and local law enforcement upon becoming aware of the alleged abuse incident involving Resident #1. | Citation |
Report Facts
Correction deadline: Nov 25, 2023
Fine amount: 1000
Fine amount: 400
Inspection Report
Annual Inspection
Deficiencies: 6
Oct 11, 2022
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey from 10/11/22 to 10/13/22 to assess compliance with medication administration and documentation regulations.
Findings
The facility failed to properly administer medications and follow physician orders for multiple residents, including failure to administer prescribed medications, use of expired medications, inaccurate medication administration records (eMAR), and documentation errors related to medication administration and hearing aid use. Several staff interviews revealed lack of awareness and training deficiencies.
Deficiencies (6)
| Description |
|---|
| Failure to administer amlodipine besylate to Resident #5 despite physician's order and documentation of administration on eMAR. |
| Failure to administer Lotrisone cream to Resident #6, including use of expired medication and failure to verify self-administration. |
| Inaccurate eMAR documentation for Resident #1 regarding discontinued TED hose use. |
| Inaccurate eMAR documentation for Resident #5 regarding administration and removal of hearing aids that were not used. |
| Inaccurate eMAR documentation for Resident #5's lorazepam order, including lack of stop date and administration beyond prescribed two-week period. |
| Failure to document medication administration timely on eMAR, with some medications documented up to an hour or more after administration. |
Report Facts
Deficiencies cited: 6
Medication doses dispensed: 10
Medication doses administered: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Medication Aide (MA) | Interviewed regarding failure to administer medications and documentation errors. | |
| Resident Care Director (RCD) | Interviewed regarding medication administration policies and eMAR discrepancies. | |
| Registered Nurse (RN) Consultant | Interviewed regarding medication administration and eMAR accuracy. | |
| Administrator | Interviewed regarding facility policies and expectations for medication administration and documentation. | |
| MA Supervisor | Interviewed regarding training and oversight of medication administration and eMAR documentation. | |
| Pharmacy Technician | Interviewed regarding medication orders and pharmacy dispensing. | |
| Physician's Assistant (PA) | Interviewed regarding medication administration timing and expectations. |
Inspection Report
Annual Inspection
Deficiencies: 2
Mar 6, 2019
Visit Reason
The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey from 03/05/2019 to 03/06/2019 at Ranson Ridge at the Villages of Mecklenburg.
Findings
The facility was found to have medication labeling and administration deficiencies involving two residents. One resident's medication (Senna Plus) was not correctly labeled according to the latest physician order, and another resident received an incorrect dosage of Metoprolol Succinate ER due to discrepancies between pharmacy and facility records and failure in medication label checks and cart audits.
Deficiencies (2)
| Description |
|---|
| Failed to assure medication was correctly labeled, as prescribed by the physician, for 1 of 5 sampled residents related to Senna Plus. |
| Failed to assure medication was correctly administered, as prescribed by the physician, for 1 of 5 sampled residents related to Metoprolol Succinate extended release (ER). |
Report Facts
Medication error rate: 8.8
Medication errors observed: 3
Medication administration opportunities: 34
Tablets in bubble card: 27
Tablets dispensed: 60
Tablets dispensed: 30
Inspection Report
Annual Inspection
Deficiencies: 5
Feb 2, 2018
Visit Reason
The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey on 2018-01-30 to 2018-01-31 with a telephone exit on 2018-02-02.
Findings
The facility failed to ensure medications were administered as ordered and failed to maintain accurate documentation on the electronic Medication Administration Record (eMAR) for multiple residents, resulting in increased health risks. Additionally, the facility failed to follow up on medication review recommendations and to document resident allergies in the eMAR.
Severity Breakdown
Type B Violation: 2
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to ensure contact with prescribing physician for clarification of medication orders for Resident #2 regarding multiple medications. | — |
| Failed to ensure medications were administered as ordered for 4 of 6 sampled residents related to carvedilol, gabapentin, and Coumadin. | Type B Violation |
| Failed to assure accurate documentation on the electronic Medication Administration Record (eMAR) for 5 of 6 sampled residents related to carvedilol, gabapentin, and Coumadin. | Type B Violation |
| Failed to follow up on medication review recommendations related to documented allergies and medication orders for gabapentin, ferrous sulfate, omeprazole, and ranitidine. | — |
| Failed to document resident allergies on the electronic Medication Administration Record (eMAR) for multiple residents. | — |
Report Facts
Deficiency count: 5
Resident count: 6
Missed doses: 40
Medication doses: 3
Medication doses: 2
Medication doses: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator | Resident Care Coordinator (RCC) | Responsible for reviewing medication orders, entering orders into eMAR, and following up on pharmacist recommendations |
| Nurse Manager | Nurse Manager (NM) | Responsible for reviewing medication orders, entering orders into eMAR, and following up on pharmacist recommendations |
| John Smith | Physician Assistant | Unaware of discrepancies in medication administration for Resident #2 |
| Medication Aide | Medication Aide (MA) | Administered medications and documented administration on eMAR |
| Administrator | Facility Administrator | Responsible for oversight of medication administration and compliance |
Inspection Report
Capacity: 100
Deficiencies: 10
Jan 31, 2018
Visit Reason
This was a biennial construction section survey to assess compliance with the 2005 Rules for the Licensing of Adult Care Homes and the 2012 North Carolina State Building Code for an adult care home licensed since 2016.
Findings
The facility was found to have multiple deficiencies including housekeeping hazards, inadequate fire safety rehearsals, malfunctioning fire doors and compromised fire-rated walls, non-working exit signs, lack of power to GFCI receptacles, presence of prohibited portable electric heaters, and unsecured medication storage in the Special Care unit.
Deficiencies (10)
| Description |
|---|
| Drain line from ice machine water filter was in direct contact with floor drain, risking contamination. |
| No documentation of required monthly fire extinguisher inspections since May 2017. |
| Fire drill rehearsals not conducted regularly on each shift quarterly; missing rehearsal on 3rd shift in 3rd quarter. |
| Fire drill records lacked adequate description of rehearsal activities. |
| Corridor fire doors failed to close and latch properly, compromising fire and smoke containment. |
| One-hour fire rated walls and ceilings compromised by unsealed conduit sleeves and sprinkler escutcheons not tightly fitted. |
| Exit signs not illuminated or hanging by wires, risking evacuation delays. |
| Exterior GFCI receptacles lacked power, preventing proper testing. |
| Portable electric heater found in bathroom off room 307, violating prohibition on such heaters. |
| Medication storage room in Special Care was unlocked and unsupervised, with medication blister packs accessible. |
Report Facts
Licensed capacity: 100
Fire extinguisher inspection lapse: 8
Fire doors not latching: 5
Exit signs malfunctioning: 3
GFCI receptacles without power: 2
Inspection Report
Original Licensing
Deficiencies: 4
Jun 15, 2016
Visit Reason
The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an initial survey on June 15, 2016.
Findings
The facility was found deficient in several areas including failure to assure tuberculosis testing upon admission for one resident, failure to clarify medication orders for one resident, medication administration errors including incorrect prednisone dosage, and inaccuracies in medication administration records for two residents.
Deficiencies (4)
| Description |
|---|
| Facility failed to assure 1 of 5 residents was tested upon admission for tuberculosis disease in compliance with control measures. |
| Facility failed to assure medication orders were clarified for 1 of 5 sampled residents prescribed anti-inflammatory medications. |
| Facility failed to assure medications were administered as ordered for 1 of 3 residents observed during medication administration, including errors with prednisone administration. |
| Facility failed to assure medication administration records (MARs) were accurate for 2 of 5 sampled residents with physician's orders for Aspirin, epinephrine pen, and arthritis pain rub medication. |
Report Facts
Residents sampled: 5
Residents observed: 3
Prednisone dosage error: 10
Prednisone prescribed dose: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Services Director | Resident Services Director (RSD) | Named in relation to tuberculosis testing and medication order clarification deficiencies |
| Medication Aide | Medication Aide (MA) | Named in relation to medication administration and order processing deficiencies |
| Administrator | Administrator | Named in relation to oversight and interview about facility processes |
| Executive Director | Executive Director | Named in relation to facility oversight and medication order processes |
| Resident #4's physician | Physician | Named in relation to medication order clarification and discontinuation |
| Resident #1's Primary Care Physician | Primary Care Physician | Named in relation to medication administration error |
| Resident #4's family member | Interviewed regarding medication administration expectations |
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