Inspection Reports for The Arboretum at Woodland Terrace

Report of a Construction Section Biennial Follow Up Survey conducted on June 2, 2025.

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 North Carolina Building Code and licensing rules, as part of a Construction Section Biennial Survey.

Deficiencies were cited related to failure to maintain current sanitation and fire safety inspection reports, failure to maintain fire safety equipment and plumbing equipment in safe operating condition, and failure to ensure safe egress from all areas without use of keys or special knowledge.

The Adult Care Licensure Section conducted an Annual Survey and Complaint Investigation on 03/12/24 to 03/13/24 to assess compliance with regulations and investigate a complaint of resident abuse.

The facility was found deficient in food safety due to contamination in the walk-in cooler and ice buildup in the walk-in freezer. A Type A2 violation was cited for resident abuse when Staff A was witnessed dragging a resident backwards down the hallway, with failure of staff to intervene or report immediately. Additionally, the facility failed to complete required pre-admission screenings for all sampled residents in the Special Care Unit.

The complaint investigation was triggered by an incident on 02/29/24 where Staff A was witnessed dragging Resident #1 backwards down the hallway by her arms. The incident was reported to the Facility Manager on 03/01/24, who notified the Sheriff's Department and Resident #1's Power of Attorney. Staff A was terminated and charged with a felony. Multiple staff witnessed the incident but failed to intervene or report immediately.

The Adult Care Licensure Section conducted an annual and follow-up survey on January 24-25, 2024 to assess compliance with regulations.

The facility failed to maintain a safe environment in the special care unit (SCU) by allowing hazardous personal care and cleaning products accessible to residents, failed to ensure tuberculosis testing for 2 of 5 sampled residents upon admission, failed to label and date opened food items properly, and failed to serve water to residents at each meal.

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 North Carolina Building Code and Rules for Licensing of Adult Care Homes in effect at the time of initial licensure.

Multiple deficiencies were cited including failure to submit plans for fire sprinkler system replacement, exterior premises not maintained safely, walls and furnishings not in good repair, unsafe storage of oxygen cylinders, fire safety components not maintained in safe operating condition, and mechanical exhaust systems not operational or installed in required locations.

The Adult Care Licensure Section and Wake County Department of Social Services conducted an annual survey on February 13-14, 2018 to assess compliance with regulations for Woodland Terrace.

The facility failed to maintain accurate and current therapeutic diet lists and failed to serve a resident's therapeutic diet as ordered. Additionally, the facility did not complete required quarterly written assessments for residents in the Special Care Unit.

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 North Carolina Building Code and licensing rules at the time of initial licensure.

The survey identified multiple deficiencies related to the building's fire safety equipment, electrical equipment, mechanical equipment, and exhaust ventilation systems, including non-operational sprinkler risers, gaps in fire resistant ceilings, inoperable fire dampers, malfunctioning GFCI outlets, lint accumulation near mechanical equipment, fire doors not latching properly, exposed electrical wiring, and a non-operating central exhaust system.

The Adult Care Licensure Section conducted an annual survey from 03/08/16 to 03/11/16 to assess compliance with state regulations for Woodland Terrace.

The facility was found deficient in multiple areas including failure to ensure tuberculosis testing upon admission, failure to meet health care needs related to pressure sore prevention, timely urinalysis, and specialized wheelchair provision. Additional deficiencies included food contamination risks, medication administration errors, incomplete special care unit resident profiles and care plans, and lack of annual infection control training for medication aides.

The facility was surveyed for conformance with the applicable portions of the 2005 Rules for Licensing of Adult Care Homes of Seven or More Beds and applicable portions of the North Carolina Building Code and Rules for Licensing of Adult Care Homes.

The inspection identified multiple deficiencies related to physical plant safety and maintenance, including unrestrained oxygen bottles, fire doors not closing and latching properly, holes in fire-resistant walls and ceilings, use of door wedges preventing fire doors from closing, electrical safety devices (GFCIs) not functioning, lack of plumbing safety devices, presence of prohibited portable electric heaters, lack of safety lock on stove, and inadequate exhaust ventilation in housekeeping storage.