Inspection Reports for Rich Square Villa
310 North Main Street Rich Square, NC 27869, Rich Square, NC, 27869
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
9.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
79% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Apr 27, 2022
Visit Reason
The Adult Care Licensure Section and the Northampton County Department of Social Services conducted an annual survey on 04/26/22 through 04/27/22 to assess compliance with medication orders and administration regulations.
Findings
The facility failed to clarify medication orders for one resident regarding treatment of low blood sugar and severe hypoglycemia, and failed to ensure medications were administered as ordered for two residents during the morning medication pass, including errors with medications for constipation, high blood pressure, and angina. Additionally, the electronic medication administration records were inaccurate for two residents, documenting medications as administered when they were not.
Deficiencies (3)
Failed to clarify medication orders for Resident #2 regarding glucose gel and Baqsimi spray administration for low blood sugar and severe hypoglycemia.
Failed to ensure medications were administered as ordered for Residents #1 and #2 during the morning medication pass, including crushing extended release medication and omission of medications.
Electronic medication administration records (eMAR) were inaccurate for Residents #1 and #2, documenting medications as administered when they were not.
Report Facts
Medication error rate: 11
Medication administration opportunities observed: 34
Residents sampled: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Medication Aide | Interviewed regarding medication administration errors and procedures. | |
| Resident Care Coordinator | Interviewed regarding medication order clarifications and administration expectations. | |
| Administrator | Interviewed regarding medication administration policies and training. | |
| Resident #1's Hospice Nurse | Interviewed regarding medication crushing and administration. | |
| Resident #1's Facility Contracted Pharmacist | Interviewed regarding medication crushing and administration. | |
| Resident #2's Primary Care Provider | Interviewed regarding medication order clarifications and administration. |
Inspection Report
Capacity: 38
Deficiencies: 4
Date: Feb 22, 2018
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 North Carolina Building Code and Minimum Standards and Regulations for Homes for the Aged in effect at time of initial licensure.
Findings
Deficiencies were cited related to physical plant issues including lack of an exterior landing at a corridor exit door, ceiling sheetrock unfastened in the Chemical Storage Room, exterior exit door gaps allowing bugs to enter, and a non-illuminated exit sign adjacent to Room 7.
Deficiencies (4)
No exterior landing at the end of the corridor exit door adjacent to Room 26.
Ceiling sheetrock unfastened to the supporting structure around an exhaust grille in the Chemical Storage Room.
Exterior exit door adjacent to Room 7 has a gap at the bottom allowing bugs to enter the facility.
Exit sign adjacent to Room 7 in the exit access corridor is not illuminated.
Report Facts
Licensed capacity: 38
Inspection Report
Follow-Up
Deficiencies: 1
Date: Sep 13, 2016
Visit Reason
This report is of a Follow-Up Survey conducted to verify correction of deficiencies cited during the Biennial Construction Survey.
Findings
The facility failed to correct deficiencies related to building equipment maintenance; specifically, doors did not close completely and latch, including the exterior door to the Sprinkler Riser Room which scrubs the frame and will not close and latch.
Deficiencies (1)
Facility components were not maintained operable by having doors that did not close completely and latch, including the exterior door to the Sprinkler Riser Room.
Inspection Report
Follow-Up
Deficiencies: 4
Date: Jul 19, 2016
Visit Reason
This report is of a Follow-Up Survey conducted to verify correction of deficiencies cited during the Biennial Construction Survey that had not been satisfactorily corrected.
Findings
The facility was found not to have maintained the building and fire safety equipment in a safe and operable condition, including missing sprinkler escutcheons in rooms 1 and 25, doors that did not close completely and latch, and an exterior door to the Sprinkler Riser Room that scrubs the frame and will not close and latch.
Deficiencies (4)
Room 1 has a sprinkler escutcheon missing
Room 25 has one escutcheon in the closet missing
Doors did not close completely and latch
Exterior door to the Sprinkler Riser Room scrubs frame and will not close and latch
Report Facts
Repair scheduled date: Jul 26, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bob Getchell | Conducted the Follow-Up Survey |
Inspection Report
Follow-Up
Deficiencies: 7
Date: Apr 27, 2016
Visit Reason
This was a Follow-Up Construction Survey to verify correction of deficiencies cited during the Biennial Construction Survey.
Findings
The facility had multiple deficiencies related to physical plant safety and maintenance, including lack of current sanitation and fire safety reports, broken windows, missing sprinkler escutcheons, doors that did not close and latch properly, dirty smoke detector tubes, missing fire department connection sign, plumbing issues such as a spray hose without a vacuum breaker, and improper exhaust ventilation with a bathroom fan venting into the attic.
Deficiencies (7)
Current sanitation and fire safety inspection reports were not available at the time of the survey, including the Fire Alarm Panel Annual Test Report.
Facility components were not maintained in a safe manner, including a broken window in Room 24.
Building was not maintained in a safe manner by not maintaining the fire-resistance rating of building components; missing sprinkler escutcheons in Room 1 and Room 25 closet.
Facility components were not maintained operable due to doors that did not close completely and latch, including the exterior door to the Sprinkler Riser Room.
Building fire protection equipment was not maintained; dirty sample tubes for HVAC duct mounted smoke detectors near room 7 and no Fire Department Connection (FDC) sign on the outside of the building.
Building plumbing equipment was not maintained operable; spray hose in corridor bath/shower room had no vacuum breaker.
Building exhaust ventilation was not maintained in accordance with the rule; bathroom fan on room 26 vented into the attic.
Inspection Report
Capacity: 38
Deficiencies: 9
Date: Mar 16, 2016
Visit Reason
This report is of a Biennial Construction Survey conducted to assess compliance with the 1984 and applicable portions of the 2005 Rules for the Licensing of Adult Care Homes and the 1978 North Carolina Building Code(s), Institutional Occupancy.
Findings
Multiple deficiencies were noted including lack of current sanitation and fire safety reports, unsafe and unmaintained facility components such as broken windows, loose soffits, damaged fire-resistance barriers, unsealed penetrations, malfunctioning doors, dirty smoke detectors, plumbing issues, insufficient emergency lighting, and inadequate exhaust ventilation.
Deficiencies (9)
Current sanitation and fire safety inspection reports were not available at the time of the survey, including the Fire Alarm Panel Annual Test Report.
Outside premises were not maintained in a safe manner, including a broken window in Room 24, loose left front soffit, and a broken eave vent allowing birds to enter the attic.
Resident ceilings and furnishings were not maintained in good condition, including stained ceiling in Room 15 and furniture with loose or missing handles in multiple bedrooms.
Building was not maintained in a safe manner by failing to maintain fire-resistance rating of components, including unsealed penetrations in attic smoke barrier, holes in walls, damaged fan enclosures, missing sprinkler escutcheons, and door issues.
Building fire protection equipment was not maintained, including dirty smoke detector tubes, dust-covered sprinkler heads, and missing FDC sign.
Building plumbing equipment was not maintained operable, with toilets coming loose in Rooms 21 and 16 and a spray hose lacking a vacuum breaker.
Building exit signage and emergency illumination were insufficient to provide required lighting along corridors during emergencies.
Building electrical system was not maintained to keep the facility safe, including a broken outlet in Bedroom 10 (fixed on site).
Building exhaust ventilation was not maintained, including non-working exhaust fan in shared bathroom 5/7, no exhaust fan in bathroom of Room 25, and bathroom fan in Room 26 venting into the attic.
Report Facts
Total licensed capacity: 38
Viewing
Loading inspection reports...
