Inspection Reports for The Landings of Chestnut Grove
158 Chestnut Grove Church Road Sparta, NC 28675, Sparta, NC, 28675
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
12 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
131% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jul 17, 2024
Visit Reason
The Adult Care Licensure Section and the Alleghany County Department of Social Services conducted an annual survey and complaint investigation from 07/16/24 to 07/17/24.
Complaint Details
The visit included a complaint investigation as part of the annual survey from 07/16/24 to 07/17/24.
Findings
The facility failed to ensure an assessment was completed within 10 days following a significant change in a resident's condition for 1 of 5 sampled residents (Resident #4) who received a new order for an indwelling catheter. Additionally, the facility failed to ensure care plans were signed by the assessor upon completion for multiple residents (#1, #2, and #3). The facility also failed to ensure a Licensed Health Professional Support (LHPS) evaluation was completed within 30 days for Resident #4 with LHPS tasks related to urinary catheter care.
Deficiencies (3)
Failed to ensure an assessment was completed within 10 days following a significant change in the resident's condition for Resident #4 who received a new order for an indwelling catheter.
Failed to ensure the care plan was signed by the assessor upon completion for Residents #1, #2, and #3.
Failed to ensure a Licensed Health Professional Support (LHPS) evaluation was completed within 30 days for Resident #4 with LHPS tasks related to urinary catheter care.
Report Facts
Sampled residents: 5
Residents with care plan signature deficiency: 3
Dates of LHPS assessments: Jul 17, 2024
Dates of LHPS assessments: Apr 24, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator | Resident Care Coordinator (RCC) | Responsible for completing resident care plans and notifying LHPS Nurse of new tasks; interviewed regarding deficiencies. |
| Administrator | Administrator | Interviewed regarding expectations for care plan completion, LHPS evaluations, and oversight of deficiencies. |
| Primary Care Physician | Primary Care Physician (PCP) | Contracted PCP who provided medical orders and visit notes related to Resident #4's catheter care. |
| LHPS Nurse | Licensed Health Professional Support Nurse | Responsible for completing LHPS evaluations; noted to be inconsistent and behind in signing assessments. |
Inspection Report
Follow-Up
Deficiencies: 0
Date: May 8, 2024
Visit Reason
The visit was a Biennial Follow Up Construction Survey conducted to verify correction of previously noted deficiencies.
Findings
Deficiencies noted during the Biennial Construction Survey have been corrected and no further action is required at this time.
Inspection Report
Capacity: 40
Deficiencies: 9
Date: Feb 8, 2024
Visit Reason
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 2018 Edition of the North Carolina Building Code, Institutional Occupancy during a Construction Section Biennial Survey.
Findings
Multiple deficiencies were cited related to physical plant and safety code compliance, including non-functioning special locking equipment, missing door closers on laundry room doors, heavy dust accumulation on vents, malfunctioning electrical equipment and emergency lighting, lack of annual fire extinguisher inspection, gaps in fire-rated ceiling penetrations, obstruction below sprinkler heads, and non-functioning exhaust ventilation in specified areas.
Deficiencies (9)
Special locking equipment on the courtyard gate is not functioning; magnetic locking system turned off until repaired.
Door closers removed from laundry room doors causing doors to not close automatically.
Heavy accumulations of dust on vents in the Med Room, Nurses' Station, and Director's Office.
Electrical equipment not maintained in operating condition; alarm on screamer box did not sound.
Electrical emergency/safety lighting equipment not maintained in safe operating condition; emergency light in employee restroom did not illuminate on test.
Fire extinguisher in exterior mechanical room did not receive annual service inspection.
Loose fire caulk around ceiling penetrations in outside dryer room and unsealed new cable in service hall data room.
Failure to maintain 18" clearance below sprinkler heads; items stored within 18" obstructing sprinkler system.
Exhaust ventilation not maintained in specified spaces; exhaust fan in 100 Hall Residential Laundry not working.
Report Facts
Licensed capacity: 40
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