Inspection Reports for TerraBella Cramer Mountain

The Adult Care Licensure Section and the Gaston County Department of Social Services conducted an annual survey from 06/25/24 to 06/26/24 to assess compliance with medication administration and other regulatory requirements.

The facility failed to ensure medications were administered as prescribed for 3 of 5 sampled residents related to insulin for blood sugar control, a medication for depression, and oxygen therapy. Documentation and administration errors were noted, including missed insulin doses, missed antidepressant medications without physician notification, and lack of oxygen use documentation.

This was a complaint follow-up construction survey conducted to verify correction of previously identified deficiencies.

All deficiencies identified in the prior complaint investigation have been corrected. No further action is required.

The visit was a follow-up related to a complaint. All deficiencies have been corrected.

The Adult Care Licensure Section and the Gaston County Department of Social Services conducted a follow-up survey from 07/06/22 to 07/07/22 to verify correction of previous deficiencies related to therapeutic diets.

The facility failed to ensure therapeutic diets were served as ordered for 2 of 6 sampled residents. Resident #6, with an order for nectar thick liquids, was served unthickened beverages causing coughing and risk of aspiration. Resident #5, with a mechanical soft diet order, was served inappropriate foods such as corn. These failures constituted a Type B Violation.

The Adult Care Licensure Section and the Gaston County Department of Social Services conducted an annual, follow-up survey and complaint investigation on April 27 - 29, 2022. The complaint investigation was initiated by the Gaston County Department of Social Services on April 20, 2022.

The facility failed to ensure medication aides received required training on diabetic care and medication administration, failed to provide food service orientation to food service staff, lacked therapeutic diet menus and failed to serve therapeutic diets as ordered, and failed to ensure medication aides completed mandated training and competency validation prior to administering medications.

Complaint investigation initiated by Gaston County Department of Social Services on April 20, 2022, related to training and care issues.

The inspection was a Construction Section Biennial Survey conducted to ensure the facility meets applicable adult care home licensing rules and building code requirements.

Multiple deficiencies were identified including housekeeping issues such as a wall not kept in good repair, unsafe storage of portable oxygen cylinders, open waste drains, compromised fire-rated walls and ceilings, corridor doors that do not latch properly, improperly fitted sprinkler escutcheons, non-operational GFCI outlet, unsecured soffit vent, use of electrical outlet expanders not approved for institutional use, and cooking equipment left unattended without staff supervision.

The Adult Care Licensure Section conducted an annual survey of Carillon Assisted Living of Cramer Mountain on October 16-17, 2018 to assess compliance with health care, nutrition, medication administration, and other regulatory requirements.

The facility was found deficient in several areas including failure to notify a physician when a resident missed Coumadin medication for three consecutive days, lack of matching therapeutic diet menus for residents with physician-ordered diets, and failure to assure medication aides observed residents taking their medications after administration.

This document is a Construction Section Biennial Survey conducted to assess compliance with the 1996 Rules for Licensing of Adult Care Homes, applicable portions of the 2005 Rules for Adult Care Homes of Seven or More Beds, and the 1996 North Carolina State Building Code for Institutional Occupancy.

Multiple deficiencies were cited including exit door locks requiring multiple hand motions, excessive dust accumulation on HVAC grilles, improper storage of portable oxygen cylinders, lack of timely maintenance on fire sprinkler systems, smoke barrier doors not closing properly, emergency lights failing on backup power, gaps in fire-resistance-rated ceiling assemblies, incomplete exit sign coverage, and missing documentation for commercial kitchen hood fire suppression system inspections.

The Adult Care Licensure Section and the Gaston County Department of Social Services conducted a complaint investigation on October 6 and 7, 2015 regarding staffing and personal care issues at the facility.

The facility failed to provide sufficient direct care aide hours on the second shift to meet residents' personal care needs, specifically showers. Staffing levels were inadequate with only five to six staff scheduled for the entire building on second shift, resulting in missed or delayed showers for residents.

Complaint investigation conducted on October 6 and 7, 2015. Findings substantiated that staffing was insufficient to meet residents' shower needs on second shift.

Biennial Construction Survey conducted to ensure the facility meets the 1996 Rules for Licensing of 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.

Multiple physical plant deficiencies were identified including failure to provide single hand motion exit door hardware, unsanitary conditions and equipment in disrepair, breaches in fire-resistance-rated construction compromising safety, malfunctioning emergency exit illumination, obstructed fire sprinkler heads, locked egress doors requiring keys, presence of prohibited portable electric heater, and inadequate exhaust ventilation.