Inspection Reports for Terrabella Asheboro

The Adult Care Licensure Section conducted an annual and a follow-up survey on 07/23/25 and 07/24/25 to assess compliance with medication administration and controlled substances regulations.

The facility failed to administer medications as ordered for multiple residents, including failure to prompt rinsing after inhaler use, administration of discontinued dietary supplements, and missed doses of morphine for pain and dyspnea. Additionally, controlled substance records for morphine were not accurately reconciled, with multiple missed doses and incomplete documentation.

Report of a Biennial Construction Follow Up Survey conducted to verify correction of previous deficiencies.

Deficiencies have been corrected. No further action is needed.

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 1996 Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure during a Construction Section Biennial Survey.

Deficiencies were cited including failure to maintain current sanitation and fire safety inspection reports, failure to maintain building equipment in a safe and operating condition such as inaccessible walk-in freezer door release, holes in fire-resistant ceilings, and missing door closers on fire-rated doors.

The Adult Care Licensure Section and the Randolph County Department of Social Services conducted an annual and follow-up survey from 04/16/24 to 04/17/24.

The facility was found deficient in medication aide training and competency validation, health care referral and follow-up for a resident refusing daily weights, and medication administration practices including failure to observe a resident taking medications and improper medication handling.

The Adult Care Licensure Section conducted an annual survey on March 10 and March 11, 2022 to assess compliance with regulations related to medication administration and staff training.

The facility failed to ensure medications were only borrowed in emergencies and replaced promptly for 2 of 5 sampled residents with anti-anxiety medication orders. Additionally, 4 of 6 sampled medication aides had not met state training and competency requirements, including passing the written medication aide exam within 60 days, completing required training, or completing clinical skills competency validation.

This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to building safety, sanitation, and fire safety reports.

Deficiencies were found including failure to maintain current annual fire sprinkler inspection reports, unsafe conditions with fire rated doors not closing properly, and non-functioning exhaust ventilation systems in specified areas.

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 1996 Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure.

Multiple deficiencies were cited related to physical plant safety, including failure to maintain current fire safety inspection reports, obstructions in corridors, hazards from unsecured compressed gas cylinders, poor housekeeping, improperly maintained fire extinguishers, inadequate fire safety rehearsals, unsafe emergency lighting and exit signs, fire safety breaches such as unsealed penetrations and open attic doors, malfunctioning electrical and sprinkler systems, smoke tight corridor doors not closing properly, blocked corridor doors, unsupervised kitchen range, and non-functioning exhaust ventilation systems.

The Adult Care Licensure Section and the Randolph County Department of Social Services conducted an annual survey of Carillon Assisted Living of Asheboro on January 23-24, 2019.

The facility failed to ensure that one of six sampled staff had a criminal background check completed prior to hire, specifically Staff D who was hired on December 4, 2018, without documentation of a criminal background check or consent prior to employment.

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 1996 Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure.

The survey identified multiple deficiencies including poor maintenance of the outside premises with peeling and rotting fascia and trim boards, ceilings not kept in good repair due to water damage and detaching gypsum board tape, failure to maintain fire safety systems with gaps in fire resistant ceilings and inoperable automatic door closers, doors that do not latch properly, and plumbing equipment not maintained in a safe and operating condition.

Biennial Construction Survey conducted to assess compliance with physical plant standards and regulations for an adult care home.

Multiple physical plant deficiencies were identified including unstable hand grips in bathrooms, unclean HVAC grilles, lack of fire sprinkler protection in some areas, fire doors not latching properly, breaches in fire-resistance-rated construction, impaired fire sprinkler escutcheon plates, corridor doors not containing smoke/fire properly, and inadequate exhaust ventilation in several areas.

The Adult Care Licensure Section conducted an annual survey and complaint investigation on October 22 and October 23, 2015.

The facility failed to ensure medications prepared in advance were kept enclosed in a sealed container labeled with the medication name, strength, and resident's name for one of five sampled residents. Specifically, unlabeled prefilled syringes of Morphine Sulfate were found in the medication cart, and one incorrect dose was administered.

The visit included a complaint investigation related to medication administration practices, specifically concerning unlabeled prefilled syringes and incorrect dosing for Resident #5.