Inspection Reports for The Landings of Rocky Mount Mills
1365 River Drive Rocky Mount, NC 27802, Rocky Mount, NC, 27802
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Apr 16, 2025
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey and complaint investigation on March 18-20, 2025, March 31, 2025, and April 15, 2025, initiated by the Nash County Department of Social Services due to complaints received in February 2025.
Complaint Details
Complaint investigations were initiated by the Nash County Department of Social Services on February 13, 21, and 26, 2025.
Findings
The facility was found deficient in multiple areas including medication staff qualifications, failure to notify residents of rate changes, inadequate health care follow-up related to therapeutic diets, failure to serve water at meals, and medication administration errors including administering discontinued medications and duplicate doses.
Deficiencies (5)
Facility failed to ensure 2 of 6 medication staff completed required state-approved medication aide training, clinical skills validation, and testing prior to administering medications.
Facility failed to notify resident/responsible party 30 days prior to a change in rate for 1 of 6 sampled residents.
Facility failed to ensure health care follow-up was completed for 1 of 5 residents related to a therapeutic diet.
Facility failed to ensure water was served at each meal for residents in addition to other beverages.
Facility failed to ensure medications were administered as ordered for 4 of 6 residents observed during medication pass and 1 of 5 residents for record review, including errors with blood pressure medication, dietary supplements, laxative, and documentation of discontinued medications.
Report Facts
Medication error rate: 17
Resident #5 balance due: 12805.42
Resident #5 monthly rent: 4500
Resident #5 monthly unit base rent: 1647
Resident #5 PCS charge: 1388
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Medication Aide | Failed to complete required medication aide training and testing prior to administering medications. |
| Staff C | Medication Aide | Administered medications prior to completion of clinical skills competency validation checklist. |
| Special Care Coordinator | SCC | Responsible for signing off clinical skills checklist and overseeing medication aide training compliance. |
| Business Office Manager | BOM | Responsible for ensuring medication aides completed testing and for handling payments and billing. |
| Executive Director | ED | Responsible for oversight of medication aide training and billing issues. |
| Memory Care Coordinator | MCC | Responsible for relaying medication orders and overseeing medication cart audits. |
| Medication Aide | MA | Administered medications including discontinued medications and duplicate doses. |
| Administrator | Facility Administrator | Oversaw medication administration processes and billing issues. |
| Primary Care Provider | PCP | Provided medical orders and oversight for residents including hospice patients. |
| Hospice Nurse | RN | Managed hospice medication orders and patient care. |
| Dietary Manager | Dietary Manager | Responsible for meal preparation and serving beverages. |
| Personal Care Aide | PCA | Observed meal service and resident beverage preferences. |
Inspection Report
Initial Licensing
Deficiencies: 7
Date: Aug 18, 2023
Visit Reason
The Adult Care Licensure Section conducted an initial survey of The Landings of Rocky Mount Mills from August 17, 2023 through August 18, 2023.
Findings
The facility was found deficient in multiple areas including medication staff qualifications, personal care and supervision for residents with recurrent falls, health care documentation and implementation, medication order verification and administration, and failure to complete resident profiles within 30 days of admission for Special Care Unit residents.
Deficiencies (7)
Facility failed to ensure 2 of 6 medication aides had a current medication clinical skills checklist completed prior to administering medications.
Facility failed to provide increased supervision for 1 of 3 sampled residents with recurrent falls.
Facility failed to implement an order to place a fall mat when the resident was lying in bed for 1 of 3 sampled residents.
Facility failed to ensure an on-site Licensed Health Professional Support review and evaluation was completed within 30 days of admission for 1 of 3 sampled residents.
Facility failed to ensure clarification of medication orders for 1 of 4 sampled residents including medications used to treat heart failure and fluid retention.
Facility failed to administer medications as ordered for 1 of 4 sampled residents including errors with medications to treat heart failure and fluid retention.
Facility failed to complete a resident profile within 30 days of admission for 2 of 2 sampled residents on the Special Care Unit.
Report Facts
Medication aides without current clinical skills checklist: 2
Sampled residents with recurrent falls: 1
Sampled residents with fall mat order not implemented: 1
Sampled residents without LHPS review: 1
Sampled residents with medication order clarification failure: 1
Sampled residents with medication administration errors: 1
Sampled residents without resident profile: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Medication Aide | Named in deficiency for lacking current medication clinical skills checklist. |
| Staff D | Medication Aide | Named in deficiency for lacking current medication clinical skills checklist. |
| Administrator | Interviewed regarding medication aide qualifications, fall supervision, PT referrals, and resident profiles. | |
| Divisional Director of Clinical Operations | Interviewed regarding medication aide qualifications and LHPS review. | |
| Special Care Coordinator (SCC) | Interviewed regarding fall supervision, medication order clarifications, and resident profiles. | |
| Primary Care Provider (PCP) for Resident #2 | Interviewed regarding fall precautions and PT evaluation orders. | |
| Primary Care Provider (PCP) for Resident #4 | Interviewed regarding medication orders and discontinuations. |
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