Inspection Reports for Spring Arbor of Greensboro
5125 Michaux Rd, Greensboro, NC 27410, United States, NC, 27410
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Follow-Up
Deficiencies: 1
Nov 8, 2024
Visit Reason
The visit was a Biennial Follow Up Construction Survey to verify correction of previously identified deficiencies.
Findings
Deficiencies from the Biennial Construction Survey remain uncorrected, specifically a cracked window in the SCU Living Room that needs replacement by November 30, 2024.
Deficiencies (1)
| Description |
|---|
| Walls and ceilings were not kept in good repair; specifically, a cracked window over the door to the Courtyard in the SCU Living Room. |
Report Facts
Deficiency correction deadline: Nov 30, 2024
Inspection Report
Capacity: 100
Deficiencies: 10
Apr 30, 2024
Visit Reason
This is a Construction Section Biennial Survey conducted to assess compliance with the 2005 Regulations for Adult Care Homes and the 2009 North Carolina State Building Code for Institutional Occupancy I-2.
Findings
Multiple deficiencies were cited including failure to maintain compliance with physical plant requirements, lack of current fire and building safety inspection reports, unsafe and unclean outside premises, housekeeping issues, hazards related to oxygen bottle storage and broken fixtures, failure to maintain building equipment and fire safety systems in safe operating condition, and plumbing issues.
Deficiencies (10)
| Description |
|---|
| Delayed egress lock on exit door by Care Coordinator's Office did not release when force applied for more than 3 seconds; corrected at time of survey. |
| Facility did not have current fire and building safety inspection reports available for review; most recent fire sprinkler inspection dated October 3, 2022. |
| Outside premises not maintained in a clean and safe condition with holes in exterior soffits and ceilings allowing pest entry. |
| Walls and ceilings not kept in good repair; including indentations, dust accumulation, and cracked window glass. |
| Facility not free of hazards; broken toilet paper dispenser with sharp edges, unsecured oxygen bottles in multiple rooms, and closet door latches that could trap residents. |
| Electrical emergency/safety lighting equipment not maintained in safe operating condition; emergency lights and exit signs failed to illuminate on test. |
| Fire resistant rated doors did not close and latch properly, potentially allowing spread of smoke or fire. |
| Plumbing equipment not maintained in safe and operating condition; leaky valve at water heater and unsecured toilets. |
| Fire safety equipment not inspected or maintained; fire extinguisher did not receive annual service. |
| Electrical outlets with burn marks and cracked covers posing safety hazards. |
Report Facts
Licensed capacity: 100
Oxygen bottles unsecured: 15
Inspection Report
Annual Inspection
Deficiencies: 1
Feb 10, 2023
Visit Reason
The Adult Care Licensure Section conducted an annual and a follow-up survey from 02/08/2023 to 02/10/2023 at Spring Arbor of Greensboro.
Findings
The facility failed to ensure medications were administered as ordered for 1 of 7 sampled residents (#4), specifically related to multiple errors in insulin administration, including administering insulin when blood sugar levels were below the ordered hold parameters, resulting in a hypoglycemic incident requiring EMS intervention and hospitalization.
Deficiencies (1)
| Description |
|---|
| Failure to administer insulin as ordered for Resident #4, including administering insulin when finger stick blood sugar was below 100, contrary to physician orders and facility policy. |
Report Facts
Insulin administration errors: 7
Resident sample size: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Director | Resident Care Director (RCD) | Conducted training for medication aides following the incident and was interviewed regarding the medication errors. |
| Executive Director | Executive Director (ED) | Interviewed regarding expectations for medication administration and awareness of insulin errors. |
| Medication Aide | Medication Aide (MA) | Administered insulin incorrectly to Resident #4 and provided interviews about the errors. |
| Special Care Unit Coordinator | Special Care Unit Coordinator (SCUC) | Interviewed regarding knowledge of insulin administration policies and incident response. |
Inspection Report
Annual Inspection
Deficiencies: 2
Jan 27, 2020
Visit Reason
The Adult Care Licensure Section conducted an annual survey and complaint investigation on 01/23/20 through 01/24/20 and on 01/27/20. The complaint was initiated by the Adult Care Licensure Section on 01/23/20.
Findings
The facility failed to provide adequate supervision for residents with dementia resulting in multiple falls, elopements, and inappropriate touching of female residents by a male resident. The facility also failed to protect residents from mental and physical abuse related to inappropriate touching and kissing by a male resident.
Complaint Details
Complaint investigation was initiated by the Adult Care Licensure Section on 01/23/20 related to supervision failures, elopement, falls, and abuse concerns.
Severity Breakdown
Type B Violation: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to provide supervision according to residents' needs resulting in multiple falls, elopements, and inappropriate touching. | Type B Violation |
| Failed to ensure residents were free of mental and physical abuse related to inappropriate touching and kissing by a male resident. | Type B Violation |
Report Facts
Falls: 19
Falls: 5
Distance: 109
Falls: 3
Falls: 10
Inspection Report
Capacity: 100
Deficiencies: 14
Jun 13, 2019
Visit Reason
The inspection was a Construction Section Biennial Survey conducted to ensure the facility meets the 2005 Regulations for Adult Care Homes and the 2009 Edition of the North Carolina State Building Code - Institutional Occupancy.
Findings
Multiple deficiencies were cited including failure to meet code requirements for delayed egress door signage, housekeeping and maintenance issues such as unclean mechanical systems and damaged door hardware, lack of regular fire safety rehearsals, emergency lighting and exit sign failures, smoke barrier door malfunctions, electrical hazards, fire safety and sprinkler system maintenance issues, use of prohibited portable electric heaters, and non-functioning exhaust ventilation systems.
Deficiencies (14)
| Description |
|---|
| Delayed egress locked doors lack required visible signage. |
| Building mechanical systems not kept clean and in good repair, including exhaust fans falling out and excessive dust accumulation. |
| Building floors and walls not kept clean and in good repair; stained carpet and wall coverings falling off. |
| Resident room entry door hardware damaged exposing sharp edges. |
| Fire safety rehearsals not performed regularly on each shift quarterly. |
| Emergency lighting and exit signs failed to illuminate on backup power. |
| Exit doors have signage deterring usage despite being marked exits. |
| Smoke barrier doors did not close completely and latch as required. |
| Smoke tight corridor doors not maintained in safe and operating condition; doors held open with wedges or tied open preventing proper latching. |
| Electrical system hazards including use of multiple plug adaptor without overcurrent protection and blocked electrical panel access. |
| Fire safety compromised by gaps not firestopped around cables, ventilation systems, and access doors penetrating fire-resistance-rated assemblies. |
| Fire sprinkler heads obstructed or missing escutcheon plates exposing openings allowing spread of smoke and heat. |
| Use of prohibited portable electric heater found in Kitchen Manager's Office. |
| Exhaust ventilation systems in laundry areas and employee lounge restroom not functioning. |
Report Facts
Total licensed capacity: 100
Fire safety rehearsal missing shifts: 3
Fire sprinkler clearance: 18
Inspection Report
Annual Inspection
Census: 11
Deficiencies: 1
Jan 16, 2018
Visit Reason
The Adult Care Licensure Section and the Guilford County Department of Social Services conducted an annual survey on January 16, 2018 and January 22-23, 2018.
Findings
The facility failed to serve eight ounces of pasteurized milk at least twice a day as required by regulation. Observations showed milk was not served during meals and residents were not assisted or encouraged to drink milk when it was placed after meals.
Deficiencies (1)
| Description |
|---|
| Facility failed to serve eight ounces of pasteurized milk at least twice a day. |
Report Facts
Residents present at meal: 11
Residents served lunch in dining room: 10
Residents served dinner in dining room: 10
Milk quantity in refrigerator: 0.5
Residents interviewable: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Community Care Coordinator/CCC | Interviewed regarding milk serving schedule and staff responsibilities | |
| Personal Care Aide | Interviewed about meal service and milk serving practices | |
| Medication Aide | Mentioned as assisting with meal service |
Inspection Report
Capacity: 100
Deficiencies: 9
Jun 7, 2017
Visit Reason
This is a Construction Section Biennial Survey to ensure the facility meets the 2005 Regulations for Adult Care Homes and the 2009 North Carolina State Building Code for Institutional Occupancy.
Findings
Multiple deficiencies were cited including failure to have current fire and safety inspection reports on site, inadequate housekeeping and maintenance such as excessive particulate buildup in HVAC vents, damaged door hardware, non-operational emergency lighting, incomplete fire protection caulking in ceiling penetrations, missing smoke door sweeps, and plumbing code violations.
Deficiencies (9)
| Description |
|---|
| Failed to provide current Fire Inspection and Fire Alarm Testing report on site for review. |
| Failed to maintain service and cleaning of HVAC air-distribution vents; excessive particulate buildup in return-air grille in Living Room CC-1. |
| Failed to maintain floor surfaces in roll-in showers; threshold unfastened in Room 137 creating a trip hazard. |
| Damaged push buttons with sharp edges on Resident Room entry door hardware in Rooms 406 and 407. |
| Emergency wall lights in Kitchen and 200 Hall-Living Room did not illuminate in emergency mode. |
| Incomplete fire-caulking of electrical wiring ceiling penetrations in 200 Hall-Electrical Room and 400 Hall-Electrical Room. |
| Incomplete fire-caulking of supply pipe lines for ansul system in Kitchen ceiling penetrations. |
| Missing sweep at base of right-hand side smoke door in 300 Hall adjacent to Room 310 allowing passage of smoke. |
| Kitchen ice machine drain line is only 3/4 inch above floor drain; minimum 2 inch clearance required per Plumbing Code. |
Report Facts
Licensed capacity: 100
Special Care Unit capacity: 28
Inspection date: Jun 8, 2017
Inspection Report
Census: 100
Capacity: 100
Deficiencies: 5
Jul 16, 2015
Visit Reason
This is a Biennial Construction Survey conducted to assess compliance with the 2005 Regulations for Adult Care Homes and the 2009 Edition of the North Carolina State Building Code-Section 419 Institutional Occupancy.
Findings
The facility failed to meet several physical plant requirements including lack of proper delayed egress signage, unprotected electrical receptacles, compromised fire resistance of building components, propped open fire doors, unsealed penetrations in fire walls, malfunctioning emergency lighting, and non-operational mechanical exhaust systems.
Deficiencies (5)
| Description |
|---|
| EXIT doors leading from both Special Care wings are equipped with a 15-second delayed egress system but are not labeled with the required signage designating it as delayed egress. |
| A duplex receptacle located in the Beauty Shop beside the hand-wash sink is not GFCI protected. |
| Fire resistance of building components is not maintained, including propped open corridor doors, gaps in fire doors, unsealed gaps around fish tank filter tubes penetrating a one-hour wall, incomplete latching of the middle Dining Room door, and unprotected penetrations in various locations. |
| Emergency light at the front entry does not illuminate on battery power. |
| Mechanical exhaust systems are not maintained in working condition; the exhaust fan in the Special Care/400 Hall Laundry Room is turned off at the breaker due to mechanical malfunction. |
Report Facts
Licensed capacity: 100
Current census: 100
Delayed egress time: 15
Gap size: 0.75
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