Inspection Reports for Spring Arbor of Wilson

2045 Ward Blvd, Wilson, NC 27893, United States, NC, 27893

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Deficiencies per Year

12 9 6 3 0
2015
2017
2019
2022
2023
2024
Unclassified

NC DHSR Star Rating History

DateRatingScoreMeritsDemeritsType
Mar 25, 2024
103.53.50Annual Inspection
May 5, 2022
96.52.56Annual Inspection
Mar 11, 2019
105.55.50Annual Inspection
Jul 19, 2017
982.50Monitoring Visit
Dec 22, 2016
95.5010Monitoring Visit
Sep 28, 2015
105.55.50Annual Inspection
Jul 18, 2013
105.55.50Annual Inspection
Apr 10, 2012
104.54.50Annual Inspection
Nov 18, 2010
9802Annual Inspection
Nov 3, 2009
100.54.54Annual Inspection
Inspection Report Follow-Up Deficiencies: 1 May 21, 2024
Visit Reason
Biennial Follow Up Construction Survey conducted to verify correction of previously identified deficiencies related to building equipment and fire safety systems.
Findings
One deficiency remains uncorrected: a sprinkler head has not been installed in Room 112, indicating the fire safety system is not maintained in a safe condition.
Deficiencies (1)
Description
Sprinkler head not installed in Room 112, compromising fire safety system.
Inspection Report Follow-Up Deficiencies: 7 Sep 6, 2023
Visit Reason
This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to physical plant and safety systems.
Findings
The survey found multiple deficiencies including improper use of bathrooms for storage, unclean and unrepaired walls and ceilings, fire safety systems not maintained in safe condition, missing sprinkler head components, unsealed penetrations in fire-resistant barriers, non-functioning emergency and exit lighting, mechanical systems not properly maintained, and exhaust ventilation systems not working in several areas.
Deficiencies (7)
Description
Bathroom being utilized for storage with plastic bins including medicine packets on the floor of the spa.
Walls, ceilings, and floors not kept clean and in good repair; ceiling finish bubbled from leak in Kitchen Pantry; unfinished ceiling patch in Room 502.
Fire safety systems not maintained in safe condition; sprinkler heads damaged or missing parts; holes and gaps in fire resistant ceilings and walls.
Electrical emergency and exit lighting not functioning in multiple locations including SCU Lobby, Kitchen, 100 Hall, and fire doors.
Mechanical systems not maintained; dryer exhaust missing end cap allowing pest entry.
Failure to maintain 18" clearance below sprinkler heads; food boxes stored within 18" of sprinkler heads in Kitchen Pantry.
Exhaust ventilation not maintained in specified spaces including 200 Hall Spa, Men's Guest Bath, Women's Guest Bath, 200 Hall Laundry, and SCU Laundry.
Inspection Report Annual Inspection Census: 15 Capacity: 72 Deficiencies: 3 Mar 17, 2022
Visit Reason
The Adult Care Licensure Section conducted an annual survey on 03/16/22 and 03/17/22 to assess compliance with regulations for the facility Spring Arbor of Wilson.
Findings
The facility failed to ensure the Special Care Unit (SCU) was free of hazards accessible to residents, including unsecured disposable razors and knives, and hazardous chemicals in the kitchen. Additionally, the facility failed to provide adequate supervision to a resident with dementia who experienced multiple falls, and failed to meet the acute health care needs of a resident by not providing a physician-ordered wheelchair in a timely manner.
Deficiencies (3)
Description
Special Care Unit was not free of hazards accessible to residents, including unsecured disposable razors in bathrooms, a butcher knife, and hazardous chemicals in the kitchen.
Failed to provide supervision to Resident #4, resulting in 10 unwitnessed falls in 12 weeks with injury.
Failed to ensure acute health care needs were met for Resident #4 by not providing a physician-ordered wheelchair despite multiple falls and documented need.
Report Facts
Residents in Special Care Unit: 15 Licensed Capacity: 72 Unwitnessed falls: 10 Fall risk assessment score: 20
Employees Mentioned
NameTitleContext
Resident Care Coordinator (RCC)Interviewed regarding hazard security and wheelchair order delays
Primary Care Physician (PCP)Interviewed regarding hazard expectations and resident care including wheelchair order
AdministratorInterviewed regarding facility expectations for hazard security and resident supervision
Medication Aide (MA)Interviewed regarding resident supervision and observations of hazards
Personal Care Aide (PCA)Interviewed regarding resident supervision and wheelchair availability
Inspection Report Follow-Up Deficiencies: 3 Oct 16, 2019
Visit Reason
This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to physical plant and fire safety compliance.
Findings
The facility was found not in compliance with certain North Carolina State Building Code requirements, including missing wiring diagrams and component maps for special locking systems, mechanical equipment not maintained safely (grease accumulation on kitchen exhaust fan), and fire safety issues such as holes in resident room doors and gaps that could allow smoke passage.
Deficiencies (3)
Description
Missing wiring diagram and system components location map for special locking adjacent to the fire alarm panel.
Mechanical equipment not maintained in a safe and operating condition; kitchen exhaust fan with heavy grease and dirt accumulation.
Failure to maintain fire safety equipment; resident room doors have holes and gaps allowing smoke passage.
Inspection Report Capacity: 72 Deficiencies: 10 Aug 21, 2019
Visit Reason
This report documents a Construction Section Biennial Survey conducted to assess compliance with the 1996 Homes for the Aged and Infirm Minimum Desired Standards, applicable portions of the 2005 Regulations for Adult Care Homes, and the 1996 Edition of the North Carolina State Building Code-Section 419 Institutional Occupancy.
Findings
Multiple deficiencies were cited related to physical plant and safety standards including missing wiring diagrams for special locking systems, deteriorated exterior fascia, poor housekeeping and maintenance issues such as damaged door frames and stained carpets, exposed sharp metal edges, unsecured oxygen bottles, fire safety system failures including missing sprinkler escutcheon plates and doors not closing properly, mechanical equipment with heavy dust and grease accumulation, electrical hazards, and the presence of prohibited portable electric heaters.
Deficiencies (10)
Description
Missing wiring diagram and incomplete components map for special locking system by fire alarm panel.
Outside premises not maintained in a clean and safe manner; fascia trim rotted and deteriorated.
Walls and furnishings not kept in good repair; door frame splitting, veneer pulling away, and carpet heavily stained.
Facility not maintained free of hazards; exposed sharp metal edges on door locking mechanism and unsecured oxygen bottles.
Failure to maintain fire safety systems; multiple holes and missing escutcheon plates around sprinkler heads throughout facility.
Fire safety doors not closing or latching properly; doors held open or damaged preventing proper closure.
Mechanical equipment not maintained; heavy accumulation of dust, grease, lint on vents and exhaust fans.
Electrical hazard due to missing cover plate on floor outlet near medication room.
Resident room doors have holes and gaps compromising smoke resistance.
Presence of prohibited portable electric heater in Activity Office.
Report Facts
Licensed beds: 72 Special care beds: 15
Inspection Report Capacity: 72 Deficiencies: 8 Jul 19, 2017
Visit Reason
This is a Construction Section Biennial Survey to ensure the facility meets applicable building codes and regulations for adult care homes, including the 1996 Homes for the Aged and Infirm Minimum Desired Standards and the 1996 Edition of the North Carolina State Building Code.
Findings
Multiple deficiencies were cited including failure to meet building code requirements for special locking arrangements, failure to maintain cleanliness and repair of floor coverings and interior doors, failure to maintain exit signage illumination, incomplete fire protection in ceiling penetrations, unmaintained fire protection equipment in HVAC systems, dropped sprinkler head escutcheons, and failure to provide adequate exhaust ventilation in certain rooms.
Deficiencies (8)
Description
Facility does not meet Building Code requirements for Special Locking Arrangements; emergency release keys not carried by all responsible staff.
Facility failed to maintain floor coverings for cleanliness; carpet spotted in Room 313.
Facility failed to maintain operation and service of all interior doors; entry door for Room 210 drags.
Facility failed to maintain illuminance and service of exit signage; exit chevrons not provided in 300 Hall.
Facility failed to provide fire protection in electrical, HVAC, and plumbing ceiling penetrations at multiple locations.
Facility fire protection equipment in HVAC system not maintained; excessive particulate build-up in air-handler sampling tubes.
Facility fire protection equipment not maintained; dropped sprinkler head escutcheons in Front Porte-cochere ceiling and Cottage Laundry Room.
Facility failed to provide required exhaust ventilation; mechanical exhaust fans not exhausting interior air in Soiled Linen Room-400 Hall.
Report Facts
Licensed capacity: 72
Inspection Report Annual Inspection Deficiencies: 1 Sep 10, 2015
Visit Reason
The Adult Care Licensure Section and the Wilson County Department of Social Services conducted an annual survey on September 9 and 10, 2015.
Findings
The facility failed to assure that training on the care of diabetic residents was provided to 2 of 3 Medication Aides prior to the administration of insulin, as required by regulation.
Deficiencies (1)
Description
Failure to provide training on the care of diabetic residents to 2 of 3 Medication Aides prior to insulin administration.
Report Facts
Medication Aides without diabetic care training: 2 Dates of insulin administration by Staff B: July, August, and September 2015 Dates of insulin administration by Staff D: August 2015
Employees Mentioned
NameTitleContext
Staff BMedication Aide/Resident AideNamed in deficiency for lack of diabetic care training prior to insulin administration.
Staff DMedication Aide/Resident AideNamed in deficiency for lack of diabetic care training prior to insulin administration.
Resident Care CoordinatorInterviewed regarding training scheduling and facility practices.
Executive DirectorInterviewed regarding training scheduling and facility practices.
Cottage Care CoordinatorInterviewed regarding diabetes training in Medication Aide training.
Inspection Report Follow-Up Deficiencies: 2 Aug 4, 2015
Visit Reason
This is a follow-up survey conducted to verify correction of previously noted deficiencies at the facility.
Findings
Deficiencies were noted including failure to maintain the building free of hazards such as partially blocked breaker panels and failure to maintain fire safety systems, with missing sprinkler escutcheons in multiple locations.
Deficiencies (2)
Description
Breaker panels are partially blocked from access in areas including laundry storage.
Fire safety systems not maintained safe and operating; multiple sprinkler escutcheons missing including in Room 114 Bathroom and corridor near Room 108.
Inspection Report Capacity: 72 Deficiencies: 9 May 27, 2015
Visit Reason
This is a Biennial Construction Survey conducted to assess compliance with the 1996 Homes for the Aged and Infirm Minimum Desired Standards, applicable portions of the 2005 Regulations for Adult Care Homes, and the 1996 Edition of the North Carolina State Building Code-Section 419-Institutional Occupancy.
Findings
The facility was found to have multiple deficiencies including failure to maintain the building free of hazards such as improper oxygen bottle storage and blocked breaker panels; failure to maintain building equipment safe and operating including unlabeled magnetic lock switches, missing sprinkler escutcheons, non-illuminating exit signs, uninspected fire extinguishers, and doors that do not close completely; and failure to maintain bathroom mechanical exhaust systems in working condition.
Deficiencies (9)
Description
Oxygen bottles stored in an unapproved container and not properly supported in the Oxygen Storage Room.
Condensate line for HVAC units draining onto the floor creating a large puddle in the Special Care Utility Room.
Breaker panels partially blocked from access in Laundry Storage and Mechanical Room opposite the Activity Room.
Magnetic locking system not maintained safely; unlabeled keyed switches at all exit doors causing potential confusion during emergencies.
Multiple sprinkler escutcheons missing throughout the building including Resident Room 505, Laundry, Janitor Room, Room 114, and Special Care Laundry at the Sprinkler Drain.
Exit signs do not illuminate on battery power, including corridor outside Room 203.
Fire extinguishers show no signs of monthly inspection.
Corridor doors at the Activity Room and Dining Room do not close completely, potentially allowing smoke passage.
Bathroom exhaust fan in Resident Room 101 is not operating.
Report Facts
Licensed beds: 72

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