Inspection Reports for Revived Senior Living
7020 Wilson Grove Rd, Mint Hill, NC 28227, United States, NC, 28227
Back to Facility ProfileDeficiencies per Year
20
15
10
5
0
Unclassified
NC DHSR Star Rating History
| Date | Rating | Score | Merits | Demerits | Type |
|---|---|---|---|---|---|
| Jan 10, 2025 | 99.5 | 5.5 | 6 | Annual Inspection | |
| Jan 31, 2023 | 105.5 | 5.5 | 0 | Annual Inspection | |
| Jan 20, 2022 | 100 | 0 | 0 | Re-Issued | |
| Feb 28, 2020 | 105.5 | 5.5 | 0 | Annual Inspection | |
| Sep 25, 2018 | 100 | 0 | 0 | Annual Inspection |
Inspection Report
Annual Inspection
Deficiencies: 3
Nov 25, 2024
Visit Reason
The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey of Revived Senior Living on 11/25/2024 to assess compliance with regulatory requirements.
Findings
The facility was found deficient in several areas including failure to update a resident's FL2 medical examination annually, failure to have the Resident Register signed by the Administrator within 72 hours of admission for one resident, and failure to ensure all current medication orders were reviewed and signed by the resident's physician at least every six months for two sampled residents.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure a resident's FL2 medical examination was updated annually for 1 of 2 sampled residents. |
| Facility failed to ensure the Resident Register was signed by the Administrator within 72 hours of admission for 1 of 2 residents. |
| Facility failed to ensure all current medication orders were reviewed and signed by the resident's physician at least every six months for 2 of 2 sampled residents. |
Report Facts
Sampled residents: 2
Residents with medication order deficiencies: 2
Residents with FL2 deficiency: 1
Residents with Resident Register signature deficiency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Supervisor-in-Charge | Interviewed regarding FL2 and Resident Register deficiencies and medication order reviews | |
| Primary Care Provider | Interviewed regarding FL2 and medication order reviews for residents | |
| Facility Owner | Interviewed regarding responsibility for six-month physician orders |
Inspection Report
Biennial Survey
Capacity: 6
Deficiencies: 18
May 28, 2019
Visit Reason
The Division of Health Service Regulation conducted a Biennial Survey on May 28, 2019, to assess compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the applicable portions of the 2012 North Carolina Building Code - Section 425.2 Residential Care Homes.
Findings
Multiple deficiencies were cited including improperly oriented evacuation plans, missing current sanitation report, outdated fire drill log, lack of monthly fire extinguisher monitoring, clogged air filters, storage interfering with sprinkler heads, deadbolt lock on exterior door, debris buildup, loose sprinkler escutcheon plate, loose bathroom sink, insufficient heat detectors in attic, bird's nest on porch post, missing handrails on steps, clogged dryer exhaust vent, malfunctioning gate latches, broken storage building door, and presence of non-ambulatory clients contrary to license.
Deficiencies (18)
| Description |
|---|
| Evacuation plans were not oriented correctly on the walls. |
| Current sanitation report was not on site. |
| Fire drill log was not up to date. |
| Fire extinguishers were not being monitored monthly by staff. |
| Air filters were clogged and dirty. |
| Storage in some closets was too high and interfering with sprinkler head operation. |
| Deadbolt lock on exterior door at laundry room. |
| Buildup of debris behind washing machine. |
| Escutcheon plate for sprinkler head hanging loose from ceiling. |
| Bathroom sink loose from the wall. |
| Only one heat detector in attic, insufficient coverage. |
| Bird's nest built on top of front porch post. |
| Steps at rear door to laundry area lacked handrails on both sides. |
| Dryer exhaust vent discharge clogged. |
| Latch on gate to side ramp would not latch properly. |
| Latches on fence gate difficult to open and would not latch back easily. |
| Storage building door broken and not secure. |
| At least three clients were non-ambulatory, not compliant with license. |
Report Facts
Licensed capacity: 6
Number of non-ambulatory clients observed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Hickman | Reported by DHSR Construction Section |
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