Inspection Reports for Spring Arbor of Cary
1705 Kildaire Farm Rd, Cary, NC 27511, United States, NC, 27511
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Inspection Report
Annual Inspection
Deficiencies: 5
Dec 19, 2024
Visit Reason
The Adult Care Licensure Section conducted an annual survey and complaint investigation from December 17, 2024 through December 19, 2024, initiated by the Wake County Department of Social Services on November 19, 2024.
Findings
The facility failed to ensure acute healthcare needs were met for one resident related to scheduling a neurology appointment, failed to notify primary care physicians of critical blood sugar and blood pressure readings for two residents, failed to administer medications as ordered for one resident, and failed to implement proper infection control measures during medication administration.
Complaint Details
Complaint investigation initiated by Wake County Department of Social Services on November 19, 2024 related to acute healthcare needs of Resident #7.
Deficiencies (5)
| Description |
|---|
| Failed to ensure acute healthcare needs for Resident #7 by not scheduling a neurology appointment after a hospital recommendation. |
| Failed to notify Resident #1's primary care physician of finger stick blood sugar readings above 400 on multiple dates. |
| Failed to notify Resident #3's primary care physician of systolic blood pressure readings less than 90 or greater than 150 on multiple dates. |
| Failed to administer Duloxetine HCL DR 30mg and Methocarbamol 500mg as ordered for Resident #6 due to medication not being provided by family. |
| Failed to follow infection control measures during medication administration, including failure to sanitize hands between residents, failure to use gloves when applying topical patches and eye drops, and handling medications with bare hands. |
Report Facts
Medication error rate: 7
Finger stick blood sugar readings above 400: 7
Systolic blood pressure readings outside parameters: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Medication Aide | Named in relation to failure to notify PCPs and failure to follow infection control during medication administration. | |
| Cottage Care Coordinator (CCC) | Responsible for referrals and compliance reviews; interviewed regarding failure to make neurology referral. | |
| Administrator | Interviewed regarding oversight of notification and infection control failures. | |
| Assistant Resident Care Coordinator (ARCC) | Interviewed regarding medication notification and infection control procedures. | |
| Primary Care Physician (PCP) for Residents #1, #3, #6, and #7 | Interviewed regarding lack of notification of critical lab values and medication orders. |
Inspection Report
Annual Inspection
Deficiencies: 3
Sep 13, 2021
Visit Reason
The Adult Care Licensure Section conducted an annual survey of the facility from 09/09/21 through 09/13/21 to assess compliance with state regulations related to personal care, supervision, infection control, and resident rights.
Findings
The facility failed to provide adequate supervision for three residents who experienced multiple falls resulting in injuries and hospital visits. Additionally, the facility did not comply with CDC and state guidelines for COVID-19 outbreak reporting and testing after two staff tested positive. There was also a failure to ensure residents received care and services in compliance with relevant laws, particularly regarding supervision and fall prevention.
Severity Breakdown
Type A2 Violation: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to provide supervision for 3 of 5 residents sampled who had multiple falls resulting in injuries and hospital visits. | Type A2 Violation |
| Failed to ensure implementation of CDC and state guidance for COVID-19 outbreak reporting and testing after two staff tested positive. | — |
| Failed to ensure residents received care and services which were adequate, appropriate, and in compliance with relevant laws related to personal care and supervision. | — |
Report Facts
Falls for Resident #3: 13
Falls for Resident #5: 11
Falls for Resident #1: 21
Staff positive COVID-19 cases: 2
Inspection Report
Capacity: 80
Deficiencies: 10
Aug 28, 2019
Visit Reason
The facility was surveyed for conformance with the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the 2012 Edition of the North Carolina Building Code(s), I-2 Institutional Occupancy during a Construction Section Biennial Survey.
Findings
Multiple deficiencies were cited related to physical plant and safety issues including lack of emergency release switches on magnetic exit doors, unsecured oxygen cylinders, failure to maintain fire safety measures such as fire protection for penetrations in fire-rated assemblies, wedged open corridor doors, missing sprinkler escutcheons, plumbing fixture issues, kitchen appliance airgap violations, and non-operational exhaust ventilation.
Deficiencies (10)
| Description |
|---|
| Magnetically locked exit doors did not have emergency on/off switches; all switches are momentary. |
| Oxygen bottles were not secured in their storage racks in multiple rooms (113, 121, 202, 205, 405). |
| Fire safety measures were not provided for penetrations of fire-rated assemblies in mechanical rooms, PT/Storage Closet, corridor walls, and electrical closets. |
| Corridor doors were wedged open by devices that do not prevent passage of fire and/or smoke in multiple locations (Kitchen Pantry, PT Room/100 Hall, Spa/100 Hall, Staff Station/200 Hall). |
| Corridor doors were out of adjustment and do not prevent passage of fire and/or smoke in multiple rooms (207, 217, Double Access Kitchen Doors, 411). |
| Fire-blocking was knocked out due to installation of HVAC condensate line in attic/Cottage A next to Mechanical Room door. |
| Sprinkler escutcheons were missing in multiple locations (Kitchen/Walk-in Freezer, Soiled Linen/200 Hall, Nurse's Station/300 Hall, Cottage A/ADM Office). |
| Toilet in Room 113 was not secured to the floor. |
| Ice-maker did not have a 2 inch airgap from the condensate line to the floor drain. |
| Spa/Bathroom exhaust fan was not operational in the 100 Hall. |
Report Facts
Total licensed capacity: 80
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