Inspection Reports for Somerset Court of Mocksville
150 Ken Dwiggins Drive Mocksville, NC 27028, Mocksville, NC, 27028
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 22, 2025, found that previously identified deficiencies had been corrected and no further action was needed. Earlier inspections showed a pattern of deficiencies related mainly to resident supervision and fall prevention, medication administration, infection control, and building safety issues including fire safety and maintenance concerns. Complaint investigations included one substantiated case in 2018 regarding an out-of-service sprinkler system that lacked a repair plan, but no enforcement actions such as fines or license suspensions were listed in the available reports. Prior reports noted issues with medication errors, inadequate supervision for residents at risk of falls, and building code violations affecting fire safety and sanitation. The trend suggests improvement over time, with the most recent survey confirming that earlier deficiencies have been addressed.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
4.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% better than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Follow-Up
Deficiencies: 0
Date: Apr 22, 2025
Visit Reason
Report of a Biennial Construction Follow Up Survey conducted on April 22, 2025.
Findings
Deficiencies have been corrected. No further action is needed.
Inspection Report
Follow-Up
Deficiencies: 1
Date: Jan 10, 2023
Visit Reason
The Adult Care Licensure Section and Davie County Department of Social Services conducted a follow-up survey from 01/10/23 through 01/11/23 to verify correction of previous deficiencies related to resident supervision and fall prevention.
Findings
The facility failed to provide adequate supervision for Resident #4, who had a history of falls, as evidenced by unwitnessed falls without proper fall risk signage or increased supervision. Staff did not document frequent checks despite knowing the resident's fall risk, and fall prevention interventions were inconsistently implemented. The facility was in the process of implementing new fall risk emblems and expected to add new interventions after each fall.
Deficiencies (1)
Failure to provide supervision for Resident #4 with a history of falls, including lack of fall risk signage and inconsistent implementation of fall prevention interventions.
Report Facts
Number of sampled residents: 5
Date of fall incident: Dec 29, 2022
Date of fall incident: Jan 3, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator | RCC | Responsible for fall-related accident/incident reports and fall risk interventions |
| Medication Aide | MA | Interviewed regarding supervision and fall prevention for Resident #4 |
| Personal Care Aide | PCA | Interviewed regarding supervision and fall prevention for Resident #4 |
| Facility Administrator | Administrator | Interviewed regarding facility supervision policies and fall prevention |
| Resident #4's primary care provider | PCP | Interviewed regarding medical management and fall prevention for Resident #4 |
Inspection Report
Annual Inspection
Deficiencies: 8
Date: Oct 27, 2022
Visit Reason
The Adult Care Licensure Section completed an Annual and Follow-Up survey on October 25, 2022-October 27, 2022.
Findings
The facility failed to follow-up on toenail care for two residents, maintain cleanliness in kitchen and food storage areas, ensure therapeutic diets and medication orders were properly administered and clarified, and failed to observe residents taking medications and follow infection control measures during medication administration. Additionally, the facility failed to ensure a resident had a physician's order for self-administration of medications.
Deficiencies (8)
Failed to follow-up on toenail care for 2 sampled residents who needed toenail trimming.
Failed to ensure kitchen and food storage areas were clean, orderly and free of contamination.
Failed to ensure supplements were served as ordered for 1 sampled resident with an order for supplement twice daily.
Failed to clarify medication orders and diet orders for 1 sampled resident who had conflicting orders for medication and diets.
Failed to administer medications as ordered for 2 residents observed during medication pass and 4 residents for record review, including missed doses of seizure medications, anti-nausea medication, topical pain medication, diuretic, steroid medication, and corticosteroid cream.
Failed to ensure medication aides observed residents taking their medication for 2 residents sampled, including observation of one resident with liquid medication left at bedside and one resident with a cup of pills left on nightstand.
Failed to ensure infection control measures were implemented as evidenced by a medication aide who administered eye drops and failed to wash hands with soap and water before and after donning and doffing gloves.
Failed to ensure 1 sampled resident had a physician's order to self-administer an eye drop and a topical cream.
Report Facts
Medication error rate: 14
Number of sheets: 12
Medication doses refused: 6
Medication doses administered: 60
Medication doses available: 49
Medication doses dispensed: 14
Medication doses dispensed: 7
Medication doses applied: 60
Medication doses applied: 58
Medication doses applied: 46
Inspection Report
Annual Inspection
Deficiencies: 2
Date: May 8, 2019
Visit Reason
The Adult Care Licensure Section and the Davie County Department of Social Services conducted an annual survey on 05/07/19 - 05/08/19 to assess compliance with regulations for Somerset Court of Mocksville.
Findings
The facility failed to ensure tuberculosis (TB) testing upon admission for 1 of 5 sampled residents and failed to administer medications as ordered for 1 of 5 sampled residents, including errors with anxiety medication dosage.
Deficiencies (2)
Facility failed to assure 1 of 5 residents sampled (#5) was tested for tuberculosis disease upon admission.
Facility failed to administer medications as ordered by a licensed prescribing practitioner for 1 of 5 sampled residents (Resident #2), including errors with medications used to treat anxiety.
Report Facts
Residents sampled: 5
Medication tablets dispensed: 15
Medication tablets remaining: 4
Medication tablets dispensed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator | Resident Care Coordinator (RCC) | Responsible for ensuring TB skin tests and medication orders were completed and sent to pharmacy |
| Administrator | Administrator | Responsible for ensuring TB skin tests and medication orders were completed and sent to pharmacy |
| Medication Aide | Medication Aide (MA) | Administered medications and completed cart audits; involved in medication administration errors |
Inspection Report
Capacity: 60
Deficiencies: 16
Date: Jan 31, 2019
Visit Reason
The inspection was a Construction Section Biennial Survey conducted to ensure compliance with the 1996 Rules for the Licensing of Adult Care Homes, the 2005 Licensing of Adult Care Homes of Seven or More Beds, and the 1996 North Carolina State Building Code, Section 409-Institutional Occupancy (Group I).
Findings
Multiple deficiencies were cited including failure to maintain current sanitation and fire safety reports, corridor obstructions, housekeeping and maintenance issues, fire extinguisher maintenance, lack of fire safety rehearsals, electrical safety violations, fire alarm and sprinkler system deficiencies, and fire-resistance-rated wall and ceiling integrity problems.
Deficiencies (16)
Facility failed to maintain current annual fire and building safety inspection reports.
Corridors were obstructed with furniture reducing required width; corrected before surveyors departed.
Building was not maintained free of hazards including broken towel bar brackets with sharp edges and excessive dust/lint in ventilation systems.
Oxygen cylinders were not physically secured, posing a hazard.
Facility failed to provide individual clean towels and towel bars for each resident; broken towel bar observed.
Fire extinguishers were not properly maintained; inspection tags were outdated.
Fire safety rehearsals were not performed quarterly on each shift as required; documentation lacked descriptions.
Electrical outlets in wet locations lacked ground fault interrupters.
Fire alarm system was not maintained in safe operating condition; smoke detector missing.
Building sprinkler system was not maintained; sprinkler heads obstructed or debris-loaded, and clearance areas violated.
Fire-resistance-rated walls and ceilings had gaps and damage compromising integrity.
Commercial kitchen hood fire suppression system lacked required inspections and maintenance documentation.
Electrical system was not maintained safely; electrical panels blocked and unsafe plug adaptors used.
Corridor doors were wedged open preventing proper closure and latching, compromising fire safety.
Smoke tight corridor doors were not maintained in safe operating condition; doors released with light touch.
Escutcheon plate on fire sprinkler dropped exposing opening allowing smoke and heat spread.
Report Facts
Total licensed capacity: 60
Date of last fire sprinkler inspection: May 15, 2018
Date of last commercial kitchen hood maintenance: 201804
Fire extinguisher maintenance record date: 201706
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Feb 7, 2018
Visit Reason
The inspection was conducted in response to a complaint alleging that the sprinkler system had been out of service since November 2017 and that there were no plans to repair it.
Complaint Details
The complaint was substantiated. It alleged the sprinkler system was out of service since November 2017 with no repair plans. The sprinkler system was confirmed out of service due to rust-through holes and zero pressure. The facility was performing a fire watch but had no estimated repair or replacement date.
Findings
The complaint was substantiated. The sprinkler system was found to be out of service due to rusted pin holes in the piping, causing zero pressure in the system. The fire alarm system was in trouble mode due to the impaired sprinkler system. The facility has been performing a fire watch since the system was placed out of service, but no repair or replacement date had been determined.
Deficiencies (1)
The building fire safety equipment has not been maintained in a safe and operating condition.
Report Facts
Total licensed capacity: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Frank Strickland | Conducted the Construction Section Complaint Survey |
Inspection Report
Capacity: 60
Deficiencies: 3
Date: Mar 21, 2017
Visit Reason
This is a Construction Section Biennial Survey conducted to ensure compliance with the 1996 Rules for the Licensing of Adult Care Homes and the North Carolina State Building Code for an Adult Care Facility licensed for 60 residents.
Findings
The facility was found deficient in providing adequate general storage space, maintaining building safety due to obstruction of sprinkler heads by stored items, and failing to provide proper exhaust ventilation in certain rooms.
Deficiencies (3)
Facility failed to provide adequate general storage; Resident Bedroom Room 129 is being used as general storage with large plastic containers and extra furniture.
Building equipment not maintained safe; storage closet in Room 129 is overstocked with diaper bags obstructing sprinkler head flow.
Failed to provide required exhaust ventilation; mechanical exhaust fans not exhausting interior air in Rooms 123 and 124.
Report Facts
Total licensed capacity: 60
Inspection Report
Annual Inspection
Census: 53
Deficiencies: 4
Date: Dec 13, 2016
Visit Reason
The Adult Care Licensure Section conducted an annual survey on December 13 and 14, 2016 with an exit conference on December 15, 2016.
Findings
The facility failed to provide adequate supervision for residents with frequent falls, specifically Residents #1 and #5, resulting in injuries and substantial risk of serious injury or death. Additionally, the facility failed to ensure quarterly Licensed Health Professional Support evaluations for 4 of 5 sampled residents and failed to provide snacks three times daily as required.
Deficiencies (4)
Failed to provide supervision for 2 of 2 sampled residents with frequent falls in accordance with assessed needs and symptoms.
Failed to ensure quarterly Licensed Health Professional Support evaluations including physical assessment and care evaluation for 4 of 5 sampled residents.
Failed to assure snacks were offered or made available to all residents between each meal for a total of three snacks per day.
Failed to provide care and services which were adequate, appropriate, and in compliance with relevant laws regarding supervision of residents.
Report Facts
Resident falls: 13
Resident falls: 5
Facility census: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Executive Director | Named in relation to supervision failures and interviews regarding fall risk and facility policies. |
| Resident Care Manager | Resident Care Manager | Named in relation to supervision failures and interviews regarding fall risk and facility policies. |
| Medication Aide | Medication Aide | Named in interviews regarding resident supervision and fall risk. |
| Personal Care Aide | Personal Care Aide | Named in interviews regarding resident supervision and fall risk. |
| Cook | Cook | Named in relation to snack service and dietary management. |
Inspection Report
Capacity: 60
Deficiencies: 6
Date: Mar 12, 2015
Visit Reason
This is a Biennial Construction Survey conducted to assess compliance with the 1996 Rules for the Licensing of Adult Care Homes and the North Carolina State Building Code for an Adult Care Facility.
Findings
The facility failed to maintain the building in a safe manner, including improperly stored oxygen bottles, plumbing and mechanical systems not maintained safely, missing sprinkler escutcheon, dust-coated smoke detector tubes, and corridor doors being propped open preventing proper closure during emergencies.
Deficiencies (6)
Improperly stored oxygen bottles in Resident Rooms 203 and 206.
No air gap between the ice machine drain line and the floor drain in the Kitchen.
Vacuum breaker removed from faucet and replaced with a plug in Utility Room and Janitor's Closet.
Sprinkler escutcheon missing in the ceiling of the porch outside Room 123.
HVAC duct smoke detector sample tubes coated with lint and dust.
Corridor doors propped open with wedge devices preventing closure in Resident Laundry, Activity Room, and Beauty Salon.
Report Facts
Total licensed capacity: 60
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Dec 4, 2014
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey on December 4 and 5, 2014 to assess compliance with state regulations.
Findings
The facility failed to maintain hot water temperatures between 100-116 degrees Fahrenheit at 6 of 8 fixtures in residents' shared bathrooms, and failed to provide required diabetic care training to 2 medication aides prior to insulin administration.
Deficiencies (2)
Facility failed to assure 6 of 8 fixtures (4 sinks and 2 tubs in residents' shared bathrooms) were maintained between 100-116 degrees Fahrenheit.
Facility failed to assure 2 of 2 medication aides sampled received training by a licensed health professional on the care of diabetic residents prior to administering insulin.
Report Facts
Fixtures with inadequate hot water temperature: 6
Medication aides without documented diabetic training: 2
Hot water temperature measurements: 90
Hot water temperature measurements: 92
Hot water temperature measurements: 108
Hot water temperature measurements: 110
Hot water heater capacity: 90
Medication administration occurrences: 15
Medication administration occurrences: 12
Medication administration occurrences: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Medication Aide | Named in deficiency for lack of documented diabetic training prior to insulin administration |
| Staff D | Medication Aide/Supervisor | Named in deficiency for lack of documented diabetic training prior to insulin administration |
| Administrator | Interviewed regarding hot water temperature issues and diabetic training | |
| Business Office Manager | BOM | Interviewed regarding diabetic training records and responsibilities |
| Plumber | Interviewed regarding repairs to water heater and mixing valve |
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