Inspection Reports for Summit Place of South Park

The report documents a Construction Section Biennial Survey conducted to assess compliance with the 1996 North Carolina State Building Code, the 1996 Rules for Licensing of Adult Care Homes, and the 2025 Regulations for Adult Care Homes of Seven or More Beds.

Multiple deficiencies were cited including issues with housekeeping (walls, ceilings, floors, furniture), fire safety equipment and procedures, electrical and plumbing maintenance, door latching failures, and exhaust ventilation system failures.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey and follow-up survey on 08/20/24 through 08/21/24.

The facility failed to ensure that one resident had a physician's order to self-administer medications, including acetaminophen and triple antibiotic ointment, and failed to complete required disclosures for residents admitted to the Special Care Unit.

The report documents a corrective action related to a Type A2 violation concerning failure to implement policies to prevent elopement of a resident from the Special Care Unit (SCU).

The facility failed to immediately implement its policy and procedures for an attempted elopement for Resident #5, who eloped from the SCU on 11/06/23. Observations, interviews, and record reviews revealed inadequate supervision and failure to complete required assessments and individualized service plans to minimize elopement risk.

The Adult Care Licensure Section conducted an annual survey of Summit Place of Southpark on 10/12/22 – 10/13/22 to assess compliance with medication administration and pharmaceutical care regulations.

The facility failed to ensure medications were administered as ordered for multiple residents, resulting in medication errors including incorrect dosages and incomplete orders. Additionally, the facility failed to take appropriate action in response to quarterly medication review recommendations for one resident.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey on 09/11/19-09/12/19 to assess compliance with state regulations for Summit Place of Southpark.

The facility was found deficient in multiple areas including failure to serve therapeutic diets as ordered, failure to clarify medication orders, improper medication labeling, medication administration errors including splitting extended release tablets, and failure to follow infection control procedures during medication administration.

The visit was a biennial follow-up construction survey to verify correction of previously identified deficiencies related to physical plant and fire safety requirements.

The facility failed to correct a deficiency regarding fire separation and protection for hazardous areas, specifically the trash room on the first floor which is not designed or constructed as a hazardous area and stores trash in excess of allowed quantities without the required 3/4 hour fire-rated door and frame.

Biennial Follow Up Construction Survey to verify correction of previously identified deficiencies related to physical plant and safety code compliance.

Several deficiencies were not corrected, including issues with special locking arrangements on doors, fire separation and protection for hazardous areas, hand grips in bathrooms, corridor obstructions, smoke barrier doors not latching properly, and lack of mechanical exhaust ventilation in certain rooms.

Construction Section Biennial Survey conducted to assess compliance with the 1996 North Carolina State Building Code, Rules for Licensing of Adult Care Homes, and applicable regulations for Adult Care Homes of Seven or More Beds.

Multiple deficiencies were cited including failure to meet code requirements for special locking doors, fire separation and protection for hazardous areas, lack of hand grips in bathrooms, corridor obstructions, unsafe housekeeping practices, malfunctioning fire alarm and sprinkler systems, improperly maintained fire and smoke doors, inadequate emergency exit signage, and ventilation system failures.

The visit was a Construction Section Biennial Survey to assess compliance with the 1996 North Carolina State Building Code, the 1996 Rules for Licensing of Adult Care Homes, and applicable portions of the 2005 Regulations for Adult Care Homes of Seven or More Beds.

Multiple deficiencies were cited including failure to meet building code requirements for emergency release switch keys on magnetically locked exit doors, improper storage of oxygen cylinders, failure to maintain fire-proofing on structural steel, emergency and exit lighting not functioning properly, interior doors not latching to contain fire/smoke, unsecured smoke detectors, removed electromagnetic door hold openers, and missing receptacle covers.

The report documents a Construction Biennial Survey conducted to assess compliance with the 1996 North Carolina State Building Code, Rules for Licensing of Adult Care Homes, and applicable regulations for adult care homes of seven or more beds.

The facility was found to have multiple deficiencies related to building and fire safety code compliance, including improper locking mechanisms on exit gates, failure to maintain clear working space in front of electrical panels, failed fire alarm system inspection, inadequate fire safety rehearsals documentation, malfunctioning emergency lights and exit signs, compromised fire-rated walls and ceilings, improperly stored oxygen cylinders, obstructed fire alarm pull stations, inaccessible fire extinguishers, and obstructed corridors.