Inspection Reports for Richland Square

The Adult Care Licensure Section conducted an annual and follow-up survey on 03/19/24 through 03/20/24 to assess compliance with regulations related to nutrition, food service, and therapeutic diets in the facility.

The facility failed to provide matching therapeutic diet menus for a resident with a physician-ordered heart healthy/low sodium diet, failed to serve 8 ounces of milk or equivalent dairy products three times daily to residents in the Special Care Unit due to insufficient cups, failed to serve water to each resident at each meal in the Special Care Unit, and failed to serve therapeutic diets as ordered for two residents requiring pureed and finger foods diets.

Biennial Construction Survey conducted to assess compliance with the 1996 and applicable 2005 Rules for Licensing of Adult Care Homes and the 1996 North Carolina State Building Code.

Deficiencies were noted including lack of current fire alarm inspection records, unsafe plumbing system due to missing air gap on ice machine drain, and non-functioning exhaust fans in multiple specified areas causing inadequate ventilation.

The Adult Care Licensure Section conducted an annual and follow-up survey from 07/13/22 to 07/14/22 to assess compliance with medication administration regulations.

The facility failed to administer medication as ordered for 1 of 5 sampled residents (#2) who had an order for sliding scale insulin. There were 7 documented occurrences between May and June 2022 where the incorrect insulin dose was administered or documented, posing potential harm to the resident.

The Adult Care Licensure Section and the Randolph County Department of Social Services conducted a follow-up survey on April 10-11, 2019 to verify correction of previous deficiencies.

The facility failed to ensure that Resident #5 had an annual FL-2 medical examination form signed by their primary care provider. The unsigned and undated FL-2 was found during a record audit and was sent to the physician for signature but had not been returned at the time of the survey.

The Adult Care Licensure Section conducted an annual survey of Richland Place on December 13, 14, and 17, 2018 to assess compliance with state regulations for adult care homes.

The facility was found deficient in multiple areas including failure to ensure tuberculosis testing for staff, Health Care Personnel Registry checks, competency validation for Licensed Health Professional Support tasks, training on diabetic care, timely scheduling of resident referrals, clarification of medication orders, and proper medication administration. Additionally, staff training requirements for the Special Care Unit and medication aide training and competency validation were not met.

Biennial Construction Survey conducted to assess compliance with the 1996 and applicable portions of the 2005 Rules for Licensing of Adult Care Homes and the 1996 North Carolina State Building Code for a 70 bed Special Care Unit.

Multiple deficiencies were noted including lack of current sanitation and fire safety inspection reports, failure to maintain fire safety systems and equipment in safe operating condition, inadequate fire drill records, plumbing and electrical safety issues, and insufficient exhaust ventilation in required areas.

This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to building equipment and fire safety.

The survey found that deficiencies cited during the previous Biennial Follow Up Construction Survey have not been satisfactorily corrected, specifically regarding the absence of ceiling radiation dampers in certain rooms or verification that fire barriers to the roof deck are in place.

Follow-Up Construction Survey conducted to verify correction of deficiencies cited during the previous Follow-Up survey from 09/02/2016.

Deficiencies cited during the previous Follow-Up remain uncorrected. Specifically, HVAC ceiling penetrations in several rooms were not equipped with ceiling radiation dampers, and it was not determined whether these penetrations were inside areas separated by fire barriers constructed to the roof deck.

Follow-Up Construction Survey conducted to verify correction of deficiencies cited during the previous Follow-Up survey from 06/15/2016.

The building was found not maintained in a safe manner with fire-resistance ratings of building components not maintained, mechanical systems lacking required radiation dampers, doors not closing completely and latching, and exhaust ventilation systems not maintained with several exhaust fans not working.

This is a follow-up construction survey to verify correction of deficiencies cited during the Biennial Construction Survey.

The facility was found to have multiple unresolved deficiencies related to building safety and maintenance, including non-operable fire protection equipment, compromised HVAC systems, unprotected penetrations affecting fire-resistance ratings, doors that do not close or latch properly, non-functioning exit signs and emergency lights, use of prohibited portable electric heaters, and inadequate exhaust ventilation.

This report is of a Biennial Construction Survey conducted to assess compliance with the 1996 and applicable portions of the 2005 Rules for the Licensing of Adult Care Homes and the 1996 North Carolina State Building Code.

Multiple deficiencies were noted related to physical plant safety and maintenance, including lack of current sanitation and fire safety reports, improper storage of oxygen cylinders, fire extinguishers not inspected monthly, fire protection equipment and HVAC systems not maintained operable, unprotected penetrations compromising fire-resistance ratings, doors not closing or latching properly, exit signage and emergency lighting failures, use of prohibited portable electric heaters, and inadequate exhaust ventilation.