Inspection Reports for Rose Care Home – Cary
1410 Kildaire Farm Rd, Cary, NC 27511, NC, 27511
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
Moderate
Unclassified
NC DHSR Star Rating History
| Date | Rating | Score | Merits | Demerits | Type |
|---|---|---|---|---|---|
| Jul 24, 2025 | 98.5 | 2.5 | 4 | Re-Issued | |
| Jul 25, 2023 | 96 | 0 | 4 | Annual Inspection | |
| Oct 11, 2021 | 92.5 | 2.5 | 0 | Follow-Up Inspection | |
| Oct 11, 2021 | 90 | 0 | 10 | Annual Inspection | |
| Feb 18, 2020 | 97.75 | 1.25 | 0 | Follow-Up Inspection | |
| Feb 18, 2020 | 96.5 | 0 | 3.5 | Re-Issued |
Inspection Report
Original Licensing
Deficiencies: 2
Jun 13, 2025
Visit Reason
The Adult Care Licensure Section conducted an initial survey of Rose Care Homes 3 on June 13, 2025, to assess compliance with medication administration and medication disposition regulations.
Findings
The facility failed to ensure the electronic medication administration records (eMAR) were accurate for one resident, as a discontinued medication was still documented as administered. Additionally, the facility failed to store discontinued medications separately from active medications until disposal.
Deficiencies (2)
| Description |
|---|
| Failed to ensure the electronic medication administration records (eMAR) were accurate for 1 of 2 sampled residents regarding a discontinued supplement medication. |
| Failed to ensure a discontinued medication was stored separately from actively used medications until disposed of for 1 of 2 sampled residents. |
Report Facts
Medication administration days documented: 30
Medication administration days documented: 31
Medication tablets observed: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Medication Aide | Interviewed regarding signing eMAR for discontinued medication and responsibilities for medication administration and removal | |
| Administrator | Interviewed regarding oversight of medication orders and eMAR accuracy | |
| Pharmacist | Interviewed regarding medication dispensing and discontinuation procedures | |
| Hospice Nurse | Interviewed regarding medication discontinuation and expectations for medication removal |
Inspection Report
Annual Inspection
Deficiencies: 2
Jun 7, 2023
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey on June 7, 2023 to assess compliance with regulations and verify correction of previous deficiencies.
Findings
The facility failed to ensure appropriate placement for one resident according to the physician-signed medical examination document, and failed to maintain accurate medication administration records for two residents, including documentation errors for medications used to treat depression and dietary supplements.
Deficiencies (2)
| Description |
|---|
| Failed to ensure appropriate placement for 1 of 3 residents according to the physician signed medical examination document (FL-2). |
| Failed to assure medication administration records were accurate for 2 of 3 sampled residents, including inaccurate documentation for a medication used to treat depression and dietary supplements. |
Report Facts
Residents sampled: 3
Dates medication administered: 9
Medication tablets remaining: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator/Owner | Interviewed regarding admission paperwork, resident placement, and medication administration responsibilities | |
| Personal Care Aide (PCA) | Provided care for Resident #1 and interviewed multiple times regarding resident supervision and activities | |
| Office nurse for Primary Care Provider (PCP) | Interviewed regarding Resident #1's admission FL-2 and placement concerns | |
| Primary Care Provider (PCP) | Interviewed regarding Resident #1's placement and care needs |
Inspection Report
Follow-Up
Deficiencies: 1
Sep 8, 2021
Visit Reason
The Adult Care Licensure Section conducted a follow-up survey and complaint investigation on September 8, 2021.
Findings
The facility failed to ensure that one of two sampled staff had no substantiated findings on the North Carolina Health Care Personnel Registry prior to hire, with missing documentation of the date of hire for Staff B.
Complaint Details
The visit included a complaint investigation; however, substantiation status is not explicitly stated.
Deficiencies (1)
| Description |
|---|
| Failed to ensure 1 of 2 sampled staff had no substantiated findings on the North Carolina Health Care Personnel Registry prior to hire. |
Report Facts
Days Staff B started working: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Personal Care Aide | Named in deficiency related to lack of documented date of hire and HCPR check timing. |
| Administrator | Responsible for performing HCPR checks on new employees and provided interview details about staffing and hiring process. |
Inspection Report
Annual Inspection
Deficiencies: 4
Jun 17, 2021
Visit Reason
The Adult Care Licensure Section and the Wake County Department of Social Services conducted an annual survey and a complaint investigation from 06/16/21 to 06/17/21. The complaint investigation was initiated by the Wake County Department of Social Services on 05/13/21.
Findings
The facility was found deficient in multiple areas including failure to ensure tuberculosis testing upon hire for staff, failure to complete Health Care Personnel Registry checks prior to hire for staff, and failure to respond immediately and appropriately to a resident fall resulting in serious harm. Specifically, Resident #3 fell on 01/24/21 and did not receive timely medical intervention, resulting in a delayed diagnosis of a left femur fracture and subsequent hospitalization and hospice care.
Complaint Details
The complaint investigation was initiated by the Wake County Department of Social Services on 05/13/21 and included allegations related to failure to respond appropriately to a resident fall and failure to ensure staff qualifications and testing.
Severity Breakdown
Type A1 Violation: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 3 direct care staff was tested upon hire for tuberculosis disease in compliance with TB control measures. | — |
| Failure to ensure 2 of 3 direct care staff had no substantiated findings on the North Carolina Health Care Personnel Registry prior to hire. | — |
| Failure to ensure immediate response and intervention by staff during an incident in which Resident #3 with falls was found on the floor, resulting in serious physical harm and neglect. | Type A1 Violation |
| Failure to assure residents were provided with necessary care and services to maintain their physical and mental health related to personal care and supervision. | — |
Report Facts
Number of direct care staff not tested for tuberculosis upon hire: 1
Number of direct care staff without Health Care Personnel Registry checks prior to hire: 2
Date of resident fall: Jan 24, 2021
Date of survey completion: Jun 17, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Direct Care Staff | Failed to have tuberculosis test upon hire. |
| Staff A | Personal Care Aide | No Health Care Personnel Registry check prior to hire. |
| Staff B | Personal Care Aide | No Health Care Personnel Registry check prior to hire. |
| Administrator | Responsible for ensuring staff qualifications, TB testing, and responding to resident falls; failed to notify PCP timely and delayed hospital transfer for Resident #3. | |
| Resident #3's PCP | Primary Care Provider | Not notified timely of Resident #3's fall and condition changes; first notified on 01/27/21 by family member. |
Inspection Report
Original Licensing
Deficiencies: 3
Jun 19, 2019
Visit Reason
The Adult Care Licensure Section and Wake County Human Services conducted an initial survey on 06/18/19 through 06/19/19 to assess compliance with licensing requirements for the facility Heart to Live.
Findings
The facility failed to ensure competency validation for Licensed Health Professional Support tasks for 4 of 4 sampled staff. Additionally, the facility failed to ensure 1 of 3 sampled residents was tested for tuberculosis upon admission. The facility also failed to assure controlled substances screening was completed upon hire for 4 of 4 sampled staff, with expired testing kits used.
Severity Breakdown
Type B Violation: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to assure 4 of 4 sampled staff were competency validated for Licensed Health Professional Support tasks. | — |
| Facility failed to assure 1 of 3 sampled residents was tested for tuberculosis disease upon admission. | Type B Violation |
| Facility failed to assure 4 of 4 staff sampled had an examination and screening for controlled substances completed upon hire; expired testing kits were used. | Type B Violation |
Report Facts
Staff sampled for competency validation: 4
Residents sampled for TB testing: 3
Staff sampled for controlled substances screening: 4
Expiration date of controlled substances test kit: 2018.08
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Personal Care Aide | Named in competency validation and controlled substances screening deficiencies |
| Staff B | Personal Care Aide | Named in competency validation and controlled substances screening deficiencies |
| Staff C | Personal Care Aide | Named in competency validation and controlled substances screening deficiencies |
| Staff D | Personal Care Aide | Named in competency validation and controlled substances screening deficiencies |
| Administrator | Responsible for ensuring competency validation and controlled substances screening; interviewed multiple times |
Loading inspection reports...
