Inspection Reports for Sunrise on Providence

The inspection was conducted as a complaint investigation regarding the facility's failure to meet the acute healthcare needs of residents, specifically related to a pressure injury on Resident #1.

The facility failed to provide healthcare referral and follow-up in accordance with a physician's order for Resident #1, resulting in serious physical harm and neglect. Resident #1 developed an unstageable pressure ulcer with necrotic tissue that worsened over time without proper treatment or documentation.

The complaint investigation substantiated that the facility failed to provide healthcare referral and follow-up for Resident #1's pressure ulcer, resulting in serious physical harm and neglect.

Report of a Biennial Construction Section Survey conducted on April 29, 2024.

Deficiencies have been corrected. No further action is necessary.

The report documents a Biennial Construction Section Survey conducted to assess compliance with building and fire safety regulations.

The survey found deficiencies related to failure to maintain fire safety components in a safe and operating condition, including non-self-closing doors between the Bistro and Dining Room and gaps at penetrations through fire-resistant rated walls and doors that could allow fire and smoke to spread beyond the area of origin.

Biennial Construction Section Survey conducted to ensure compliance with the 1996 Rules for Adult Care Homes, applicable portions of the 2005 Rules for Adult Care Homes of Seven or More Beds, and the 1996 edition of the North Carolina State Building Code Volume I - General Construction - Section 409 Institutional Occupancy (Group I).

Multiple deficiencies were cited including improper use of bathrooms for storage, unsecured oxygen cylinders posing hazards, lack of ground fault circuit interrupters on electrical outlets in wet locations, failure to maintain fire safety components and equipment in safe and operational condition, presence of holes and gaps in fire-resistant barriers, inadequate ventilation, and electrical system maintenance issues.

The Adult Care Licensure Section conducted a complaint investigation survey onsite on July 22, 2020, with desk review and telephone exit interviews, triggered by a COVID-19 outbreak and related infection control concerns at the facility.

The facility failed to ensure implementation of CDC, NCDHHS, and Local Health Department guidelines for COVID-19 prevention, including viral testing of residents and staff, proper use of PPE, infection control procedures, and cleaning of reusable medical equipment. There was inadequate staff training, improper cleaning agents used, lack of mandatory testing, and failure to maintain social distancing and mask use among residents, placing residents at substantial risk of COVID-19 transmission.

The complaint investigation was initiated due to a COVID-19 outbreak at the facility with multiple residents and staff testing positive. The investigation focused on infection control practices, staff training, PPE use, viral testing protocols, and adherence to public health guidelines.

The report documents a Construction Section Biennial Survey conducted to assess compliance with physical plant, building, fire safety, and other regulatory requirements for the licensed adult care home facility.

The facility was found to have multiple deficiencies related to physical plant and safety code compliance, including failure to meet NC State Building Code requirements for emergency release switches on exit doors, broken hand grips in bathrooms, corridor obstructions, combustible storage hazards, missing electrical plates, compromised fire-rated walls and ceilings, improperly closing corridor doors, improper storage near fire sprinkler heads, lack of required monthly inspections for fire suppression systems, plumbing drain line issues, and non-functioning exhaust ventilation in several areas.

The Adult Care Licensure Section conducted an annual and follow-up survey on 02/06/19-02/08/19 and 02/11/19 to assess compliance with care, medication administration, and regulatory requirements.

The facility failed to ensure staff administering insulin completed mandated diabetic care training, failed to notify physicians of missed medications for multiple residents, and failed to administer medications as ordered, resulting in medication errors and increased risk to resident health and safety. Additionally, the facility failed to obtain and document blood pressures prior to administering antihypertensive medication and failed to clarify conflicting medication orders.

The inspection was a Construction Section Biennial Survey to ensure the facility meets applicable adult care home rules and the North Carolina State Building Code.

Multiple deficiencies were cited including failure to maintain hand grips in bathrooms, furniture and ceilings in good repair, interior doors and walls that do not prevent passage of smoke or fire, blocked exit corridors, and fire safety equipment not maintained in safe and operating condition.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey on August 29 and August 30, 2017.

The facility failed to serve eight ounces of pasteurized milk at least twice a day to residents in the Special Care Unit (SCU). Observations and interviews revealed that milk was not offered or served to most residents at breakfast and lunch, despite menu requirements and staff acknowledging milk should be served.

Biennial Construction Survey conducted to assess compliance with physical plant requirements, fire safety, sanitation, and building codes applicable to adult care homes.

Multiple physical plant deficiencies were identified including lack of fire sprinkler protection in mechanical closets, unlabeled emergency release switches, absence of current fire safety inspection reports, obstructions in corridors, unclean and unrepaired walls and ceilings, malfunctioning fire protection equipment, improper storage of oxygen cylinders, blocked fire doors, and inadequate ventilation in certain areas.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey on September 9-11, 2015 with an exit conference via telephone on September 14, 2015.

The facility was found deficient in multiple areas including failure to assure tuberculosis testing for staff, failure to document and implement physician's orders for residents, failure to serve therapeutic diets as ordered, failure to clarify medication orders, failure to properly document medication administration including insulin sliding scale, failure to ensure special care unit staff received required training, and failure to ensure medication aides completed required training and competency evaluations.