Inspection Reports for Scotland House
27669 Highway 125 Scotland Neck, NC 27874, Scotland Neck, NC, 27874
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
23% better than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Census: 54
Deficiencies: 5
Date: Nov 15, 2024
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey from 11/13/24 to 11/15/24 to assess compliance with regulations including housekeeping, personal care and supervision, health care, medication administration, and controlled substances management.
Findings
The facility failed to maintain cleanliness in a resident's room and bathroom, failed to provide adequate supervision for a resident with smoking behaviors, failed to ensure health care coordination and follow-up for a resident with injuries from falls, failed to administer medications as ordered for two residents including insulin and controlled substances, and failed to maintain accurate controlled substance records.
Deficiencies (5)
Resident #1's room and shared bathroom in the special care unit were not maintained in a clean and orderly manner with cigarette burn holes, stains, dirt, and smoke odor present.
Facility failed to provide supervision for Resident #1 who smoked in unauthorized areas and possessed smoking materials, resulting in burn holes in clothing and bathroom floor, posing a fire risk.
Facility failed to ensure health care coordination and follow-up for Resident #4 including failure to coordinate orthopedic referral for broken arm and failure to obtain x-ray for rib injury.
Facility failed to administer medications as ordered for Residents #1 and #2 including missed doses of Lorazepam for Resident #1 and incorrect insulin dosing for Resident #2.
Facility failed to ensure accurate reconciliation of controlled substances for Resident #1 resulting in 30 unaccounted doses of Tramadol.
Report Facts
census: 54
special care unit residents: 21
assisted living residents: 33
missed Lorazepam doses: 10
Tramadol tablets unaccounted: 30
Tramadol tablets dispensed: 90
Tramadol tablets remaining: 45
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Apr 13, 2022
Visit Reason
The Adult Care Licensure Section conducted an annual survey of Scotland House from April 12, 2022 to April 13, 2022 to assess compliance with adult care home regulations.
Findings
The facility was found deficient in maintaining an accurate and current listing of residents with physician-ordered therapeutic diets, serving therapeutic diets as ordered, and administering medications according to physician orders. Specific issues included inaccurate therapeutic diet listings, failure to serve mechanical soft diets as ordered for Resident #3, and medication administration errors for Residents #1 and #3.
Deficiencies (3)
Failed to maintain an accurate and current listing of residents with physician-ordered therapeutic diets for guidance of dietary staff for 1 of 3 sampled residents (#3).
Failed to ensure therapeutic diets were served as ordered for 1 of 2 sampled residents (#3) with an order for mechanical soft diet.
Failed to ensure medications were administered as ordered for 2 of 3 sampled residents, including a blood pressure medication administered more often than prescribed (#1) and a dementia medication not administered for 27 days (#3).
Report Facts
Days medication not administered: 27
Medication administration errors: 2
Residents sampled: 3
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