Inspection Reports for Sandy Ridge Assisted Living

326 Bowman Road Candor, NC 27229, Candor, NC, 27229

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

54% worse than North Carolina average
North Carolina average: 5.2 deficiencies/year

Deficiencies per year

16 12 8 4 0
2015
2017
2025

Inspection Report

Follow-Up
Deficiencies: 0 Date: Mar 12, 2025

Visit Reason
Follow Up Construction Survey conducted based on the acceptable Plan of Correction received on November 11, 2024, for the Biennial Construction Survey.

Findings
All previously cited deficiencies from the Biennial Construction Survey were noted as corrected; therefore, no further action is required.

Employees mentioned
NameTitleContext
Tod HancockConducted the Follow Up Construction Survey by documentation.

Inspection Report

Capacity: 104 Deficiencies: 14 Date: Oct 12, 2017

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 1996 (1999 Rev) Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Minimum Standards and Regulations for Homes for the Aged in effect at time of initial licensure.

Findings
The survey identified multiple deficiencies including failure to properly train staff on emergency locking systems, corridor obstructions, unsafe handling of portable oxygen cylinders, trip and fall hazards, improper storage near fire sprinkler heads, malfunctioning fire alarm and emergency lighting systems, non-functioning exit signs, compromised fire rated doors and walls, hot water temperature exceeding safe limits, and non-functioning exhaust ventilation.

Deficiencies (14)
Facility failed to properly train staff on the location, use and operation of components of the Special Locking (magnetic locks).
Corridors were not maintained free of obstructions, including items reducing clear width and blankets on the floor posing fall hazards.
Improper handling and storage of portable medical oxygen cylinders, including cylinders stored without containers.
Significant trip and fall hazard due to uneven surfaces at the exit path between cement pad and sidewalk.
Storage too close to fire sprinkler heads, compromising fire suppression capability.
Ice machine drain line less than required height above floor drain, risking contamination.
Fire alarm system intermittently showing 'Trouble' condition, with multiple detectors and areas affected.
Battery powered emergency lights failed to work when tested in multiple locations.
Several alarm sounding devices covering emergency release switches failed to sound when opened.
Exit sign near 300 Hall dining room was not illuminated.
Corridor fire rated doors failed to close and latch properly; permanent magnets used to hold open fire rated doors; door closers removed.
One-hour fire rated walls and ceilings compromised by unsealed holes and penetrations.
Hot water temperature measured at 118 degrees F, exceeding maximum safe limit of 116 degrees F.
Exhaust fan not working in bathroom off the kitchen, failing to maintain required ventilation.
Report Facts
Total licensed capacity: 104 Hot water temperature: 118 Trip hazard measurements: 1.5 Trip hazard measurements: 2.5

Inspection Report

Annual Inspection
Deficiencies: 1 Date: May 18, 2017

Visit Reason
The Adult Care Licensure Section and the Montgomery County Department of Social Services conducted an annual and follow-up survey on May 16-18, 2017.

Findings
The facility failed to assure that a medication used to treat orthostatic hypotension (Florinef Acetate) was administered according to physician orders for 1 of 7 sampled residents (Resident #2). Medication aides documented administration of the medication even when systolic blood pressure was above the ordered threshold to hold the medication, with no notes explaining the deviations.

Deficiencies (1)
Failed to assure medication used to treat orthostatic hypotension was administered as ordered for Resident #2.
Report Facts
Medication administration opportunities: 11 Medication administration documented as given: 5 Medication administration opportunities: 20 Medication administration documented as given: 4 Medication administration opportunities: 4 Medication administration documented as given: 3 Medication dosage: 0.2 SBP threshold: 120

Employees mentioned
NameTitleContext
Medication AideInterviewed about medication administration and documentation practices for Resident #2
Medication AideInterviewed about medication administration and documentation practices for Resident #2
Provider PharmacistInterviewed regarding eMAR system and medication administration documentation
Registered Nurse DirectorInterviewed regarding awareness of medication administration errors for Resident #2
Nurse PractitionerInterviewed from Resident #2's physician's office regarding medication parameters and effects

Inspection Report

Capacity: 104 Deficiencies: 9 Date: Oct 6, 2015

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 1996 North Carolina Building Code and Minimum Standards and Regulations for Homes for the Aged in effect at time of initial licensure.

Findings
Physical plant deficiencies were noted including failure to provide a fully sprinkled building, missing exit signs, doors not swinging in the direction of egress, plumbing equipment not maintained safely, improperly posted evacuation plans, fire safety equipment not maintained or inspected, doors not containing smoke properly, lack of vacuum breakers on shampoo sinks, locked corridor doors restricting egress, and inadequate exhaust ventilation in several areas.

Deficiencies (9)
Facility failed to meet NC State Building Code by not providing a fully sprinkled building; covered porch near vending area not protected by fire sprinkler system.
Facility did not have all required exits with signs and/or doors swinging in the direction of egress; cross-corridor exit doors near Bedroom 417 lacked exit sign; gate from back courtyard swings inward instead of outward.
Building plumbing equipment not maintained safely; loose commode connections in multiple locations; ice machine drain piped directly onto floor receptor risking contamination.
Building failed to properly post and maintain evacuation diagrams; mounted evacuation diagrams improperly oriented near Bedrooms 303, 310, and 413.
Automatic roll-down fire door blocked from completely closing due to board; fire doors between kitchen and dining not inspected as required by NFPA 80.
Doors protecting smoke barrier did not close completely or latch properly, producing gaps exceeding acceptable clearances; corridor doors did not resist passage of smoke due to door leafs not fitting frames.
Facility failed to provide necessary equipment to ensure clean potable water supply; shampoo sinks lacked vacuum breakers to prevent backsiphonage.
Egress from areas restricted by locked corridor doors with barrel bolts and latching door knobs in multiple locations.
Exhaust ventilation system failed to remove required amount of air in multiple locations including baths, residents laundry, and soiled utility rooms.
Report Facts
Total licensed capacity: 104

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