Inspection Reports for Terrace Ridge Assisted Living
1251 E Hudson Blvd Gastonia, NC 28054, Gastonia, NC, 28054
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
6.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
25% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Oct 15, 2025
Visit Reason
The Adult Care Licensure Section and the Gaston County Department of Social Services conducted an annual survey from 10/14/25 to 10/15/25 to assess compliance with health care regulations.
Findings
The facility failed to ensure physician's orders were implemented for 2 of 5 sampled residents, specifically related to discontinuing medications for memory loss and excess fluid. Medications were administered despite orders to discontinue, due to communication and transcription errors between the facility, pharmacy, and healthcare providers.
Deficiencies (2)
Failure to ensure physician's orders were implemented for discontinuing memantine ER 28mg for Resident #1.
Failure to ensure physician's orders were implemented for discontinuing furosemide 40mg twice daily for Resident #2.
Report Facts
Medication capsules remaining: 22
Medication capsules dispensed: 30
Medication tablets remaining: 43
Medication tablets dispensed: 60
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Mar 13, 2024
Visit Reason
The Adult Care Licensure Section and the Gaston County Department of Social Services conducted an annual survey, follow-up survey, and complaint investigation from 03/12/24 to 03/13/24. The complaint investigation was initiated by the Gaston County Department of Social Services on 01/19/24.
Complaint Details
The complaint investigation was initiated by the Gaston County Department of Social Services on 01/19/24 related to wandering and elopement incidents involving residents #1 and #3.
Findings
The facility failed to ensure 2 of 8 exit doors accessible to residents with wandering behaviors had audible alarms, resulting in elopements. Additionally, the facility failed to properly supervise two residents with exit-seeking behaviors, failed to provide therapeutic diet menus for residents with consistent carbohydrate diets, and failed to administer medications as ordered, including medication errors and improper medication preparation and borrowing.
Deficiencies (7)
Facility failed to ensure 2 of 8 exit doors accessible to residents with wandering behaviors had audible alarms to alert staff.
Facility failed to ensure 2 of 5 sampled residents with wandering and exit-seeking behaviors were properly supervised, resulting in elopements and substantial risk of harm.
Facility failed to ensure there was a therapeutic diet menu for food service guidance for residents with physician-ordered consistent carbohydrate diets.
Facility failed to ensure residents with physician-ordered consistent carbohydrate diets were served the correct therapeutic diet.
Facility failed to administer medications as ordered to a resident related to a medication to treat pain; medication was administered without an order.
Facility failed to ensure medications prepared for administration in advance were identified by name and strength up to the point of administration and protected from contamination and spillage for one resident.
Facility failed to ensure medications were borrowed only in an emergency and replaced promptly for one resident with orders for a medication to treat pain.
Report Facts
Exit doors without alarms: 2
Residents with wandering behaviors: 2
Deficiency correction date: Apr 27, 2024
Deficiency correction date: Apr 12, 2024
Medication tablets remaining: 25
Medication tablets remaining: 88
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Director | Named in relation to supervision failures and medication administration findings. | |
| Administrator | Named in relation to supervision failures, therapeutic diet, and medication administration findings. | |
| Medication Aide | Named in relation to medication administration errors and medication preparation findings. | |
| Dietary Manager | Named in relation to therapeutic diet menu findings. | |
| Dietary Aide | Named in relation to therapeutic diet menu findings. | |
| Cook | Named in relation to therapeutic diet menu findings. |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Sep 16, 2022
Visit Reason
The Adult Care Licensure Section conducted an annual survey from 09/15/22 to 09/16/22 at Terrace Ridge Assisted Living.
Findings
The facility failed to maintain an accurate and current list of residents with physician-ordered therapeutic diets and failed to serve therapeutic diets as ordered for 2 of 3 sampled residents. Additionally, the facility failed to ensure a medication aide observed a resident take their medications for 1 of 5 sampled residents.
Deficiencies (3)
Failed to maintain an accurate and current list of residents with physician-ordered therapeutic diets for 2 of 3 sampled residents.
Failed to ensure therapeutic diets were served as ordered for 2 of 3 sampled residents.
Failed to ensure a medication aide observed a resident take their medications for 1 of 5 sampled residents.
Report Facts
Sampled residents with diet deficiencies: 2
Sampled residents with medication administration deficiency: 1
Dates of survey: Survey conducted from 2022-09-15 to 2022-09-16.
Inspection Report
Routine
Capacity: 74
Deficiencies: 10
Date: Nov 14, 2019
Visit Reason
The inspection was a Construction Section Biennial Survey conducted to ensure the facility meets applicable physical plant, fire safety, and building code requirements.
Findings
Multiple deficiencies were cited including failure to meet fire-resistance-rated construction requirements, lack of hand grips in tubs accessible to residents, inadequate fire safety rehearsals on each shift, unsafe and non-operating emergency equipment, deficiencies in the commercial kitchen hood's fire suppression system, electrical system issues, and corridor doors not properly maintained to resist smoke and fire.
Deficiencies (10)
Facility failed to meet fire-resistance-rated construction required by NC State Building Code, including a 350+ sq ft storage room with combustibles and a 20-minute rated door.
Tubs accessible to residents lacked required hand grips (grab bars), affecting resident safety and maneuverability.
Fire safety rehearsals were not performed regularly with at least one per shift each quarter; no rehearsal occurred during 3rd shift in the 3rd quarter of the last 12 months.
Emergency lighting near Bedroom 302 and Kitchen did not illuminate on backup power when tested.
Commercial kitchen hood's fire suppression system lacked required inspections, maintenance, and documentation; nozzle not correctly aimed at deep fryer (corrected before surveyors departed).
Ground-fault circuit-interrupter (GFCI) electrical receptacle in Bedroom 318 Bathroom did not trip when tested.
Gap at base of Kitchen exit sign not firestopped, allowing smoke and heat spread.
Corridor doors did not resist passage of smoke; automatic flush bolt on inactive leaf did not latch, preventing active leaf from securing.
Escutcheon plate on fire sprinkler in Clean Linen Bulk Laundry dropped, exposing opening for smoke and heat spread.
Corridor doors were blocked open or held open by wedges or med cart, preventing proper closing to limit smoke and fire spread.
Report Facts
Licensed capacity: 74
Addition beds approved: 14
Storage room size: 350
Fire door rating: 20
Inspection Report
Capacity: 74
Deficiencies: 9
Date: Oct 18, 2017
Visit Reason
Biennial Construction Survey to assess compliance with building code requirements and physical plant regulations for Terrace Ridge Assisted Living.
Findings
The facility did not meet building code requirements at the time of licensure, with physical plant deficiencies including lack of fire protection coverage in closet spaces, gaps in fire resistant ceilings, failure of smoke doors to close properly, and inadequate exhaust ventilation in required areas.
Deficiencies (9)
Room 201 closet spaces did not have fire protection coverage.
Holes or gaps at penetrations through fire resistant rated ceilings allowing fire and smoke to spread.
Escutcheon plate on sprinkler head outside dining dropped, leaving a gap in ceiling (corrected on site).
Five pipes penetrating boiler room ceiling were not fire caulked.
Hole at sprinkler escutcheon in Room 201.
Two inch diameter hole in smoke wall in attic by Room 204.
Two cable penetrations in 400 Hall storage room needing fire caulk.
Smoke doors at Room 205 did not close properly due to dragging on carpet.
Laundry room janitor closet mechanical exhaust ventilation was not working.
Report Facts
Licensed capacity: 74
Bed addition: 14
Number of pipes not fire caulked: 5
Diameter of hole in smoke wall: 2
Number of cable penetrations needing fire caulk: 2
Inspection Report
Capacity: 74
Deficiencies: 8
Date: Oct 14, 2015
Visit Reason
Biennial Construction Survey conducted to ensure compliance with the 1996 Rules for the Licensing of Adult Care Homes, applicable portions of the 2005 Regulations 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).
Findings
Multiple physical plant deficiencies were noted including failure to provide necessary equipment to ensure clean potable water supply, failure to maintain HVAC/ventilation grilles free of hazards, unsafe and non-operating building equipment such as sprinkler system maintenance delays, breaches in fire-resistance-rated construction, corridor doors not latching properly, improper exit door signage, non-functioning emergency lighting, and inadequate exhaust ventilation.
Deficiencies (8)
Facility failed to provide necessary equipment to ensure clean potable water supply; hoses not equipped with vacuum breakers to prevent backsiphonage.
Facility failed to maintain HVAC/ventilation grilles and associated dampers free of hazards due to excessive dust/lint accumulation.
Building not maintained in safe and operating condition due to delayed maintenance on sprinkler system components.
Breaches through fire-resistance-rated construction invalidated its integrity, including unsealed cable bundles penetrating ceiling assembly.
Corridor doors did not latch properly, failing to resist passage of smoke/fire.
Exit doors had signage deterring usage, potentially impeding prompt exit during emergencies.
Emergency lighting did not work properly on backup power, failing to illuminate egress pathways during power outages.
Exhaust ventilation system failed to remove required amount of air in housekeeping and solid utility areas.
Report Facts
Licensed capacity: 74
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