Inspection Reports for The Laurels & The Haven in Highland Creek

The Adult Care Licensure Section conducted an annual, follow-up survey and complaint investigation from June 30, 2025 through July 7, 2025, initiated by Mecklenburg County Department of Social Services on May 28, 2025.

The facility was found deficient in multiple areas including failure to complete resident care plans timely, failure to ensure physician referrals and follow-ups, failure to clarify and discontinue medication orders, failure to administer medications as ordered, failure to notify the county department of social services of a reportable accident, and failure to provide required special care unit staff orientation and training.

The complaint investigation was initiated by Mecklenburg County Department of Social Services on May 28, 2025.

This was a Construction Section Complaint Follow Up Survey conducted to verify correction of previously identified deficiencies.

Deficiencies identified in the prior complaint survey have been corrected. No further action is needed.

This was a complaint-related follow-up survey. Deficiencies were corrected and no further action was required.

Complaint investigation conducted by Adult Care Licensure Section and Mecklenburg County Department of Social Services from April 11 to April 16, 2025, initiated due to concerns about resident supervision and care.

The facility failed to provide adequate supervision for residents with aggressive and wandering behaviors, resulting in Resident #3 being locked unsupervised in the main common area for about an hour, and Resident #7 sustaining a head injury after a fall. Additionally, staff failed to complete required special care unit training and the facility was understaffed on multiple shifts.

Complaint initiated on March 21, 2025, regarding supervision and care concerns for residents with dementia and behavioral issues, including Resident #3 and Resident #7.

The visit was conducted as a complaint investigation and death investigation related to the facility's care and supervision practices.

The facility failed to provide care and services to one resident (Resident #2) requiring assistance with transfers using a slide board, resulting in a serious injury—a closed nondisplaced fracture of the proximal end of the left humerus. The failure to follow the resident's care plan constituted a Type A1 violation.

The complaint investigation focused on Resident #2, who was injured during a transfer when a staff member failed to use the required slide board. The injury was substantiated as a closed nondisplaced fracture of the left humerus caused by improper transfer technique.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey on 11/19/2024 and 11/20/2024 to assess compliance with health care regulations and facility standards.

The facility failed to ensure proper referral and follow-up for routine healthcare needs for 2 of 5 sampled residents, failed to ensure medication administration was properly observed for 1 of 5 sampled residents, and failed to maintain accurate pharmaceutical records for 1 of 5 sampled residents. Specific issues included lack of psychology referral follow-up, missing tuberculosis test documentation, medications left unattended without proper labeling, and lack of documentation for medications brought in by a family member.

The Adult Care Licensure Section and Mecklenburg County Department of Social Services conducted an annual survey of the facility on April 16-17, 2024.

The facility failed to ensure medications were administered as prescribed for 1 of 5 sampled residents related to insulin administration for elevated blood sugar. Multiple instances were documented where Resident #3 received incorrect doses of insulin lispro according to the sliding scale orders.

This is a Construction Section Biennial Follow Up Survey conducted to verify correction of previously cited deficiencies.

The facility was found to have multiple unresolved deficiencies including lack of current fire and building safety inspection reports, unsafe and unmaintained outside premises, poor housekeeping with damaged and leaking fixtures, failure to maintain fire safety equipment in safe operating condition, and electrical equipment hazards.

The inspection was conducted due to complaints regarding the facility's failure to respond immediately to resident accidents or incidents, specifically delays in call bell response times and inadequate care following resident falls.

The facility failed to respond immediately to accidents involving residents, resulting in delays in care and intervention. Observations, interviews, and record reviews revealed multiple instances of unanswered call bells, delayed staff response, and serious harm to residents, including a resident requiring emergency brain surgery after a fall.

The complaint investigation substantiated that the facility did not respond promptly to call bells and resident emergencies, leading to serious neglect and physical harm, including a resident who required emergency brain surgery after a fall and delayed emergency response times.

The inspection was a Construction Section Biennial Survey conducted to ensure the facility meets the 1996 Homes for the Aged and Disabled Minimum Standards and Regulations, the 2005 Rules for Adult Care Homes of seven or more beds, and the 1996 Edition of the North Carolina State Building Code.

Multiple deficiencies were cited related to physical plant conditions including unsafe outside premises, damaged ceilings and walls, improper storage of oxygen cylinders, blocked egress paths, damaged fire safety doors, obstructed sprinkler heads, and non-operational exhaust fans in various locations throughout the facility.

The Adult Care Licensure section conducted an annual and follow-up survey on 05/15/19-05/16/19 to assess compliance with health care, resident rights, medication administration, and other regulatory requirements.

The facility failed to assure referral and follow-up for healthcare needs of a resident, failed to provide timely food service causing resident dissatisfaction, and failed to administer medications as ordered for two residents due to communication and accountability breakdowns among staff.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual and follow-up survey on 12/04/18-12/05/18.

The facility failed to assure referral and follow-up to meet the acute health care needs of one resident with symptoms of a urinary tract infection (UTI). Specifically, Resident #3 did not receive timely antibiotic treatment due to lack of communication between facility staff and the primary care provider, resulting in delayed treatment despite positive lab results.

The Adult Care Licensure Section and Mecklenburg County Department of Social Services conducted an annual survey on July 26-27, 2017 with an exit conference via telephone on July 28, 2017.

The facility failed to assure physician notification for elevated blood pressures and failed to administer antihypertensive medication as ordered for one sampled resident (#7). Additionally, the facility failed to assure medication aide clinical skills validation and drug screening for one sampled staff member (Staff B).

The inspection was a Construction Section Biennial Survey to ensure the facility meets the 1996 Homes for the Aged and Disabled Minimum Standards and Regulations, the 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 deficiencies were cited related to physical plant and fire safety, including failure to seal exterior wall penetrations, damage and openings in fire-rated ceiling assemblies, unprotected support rods and piping, malfunctioning smoke-barrier doors, and exit doors that do not latch properly, potentially compromising fire and smoke containment.

The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey on July 8 and July 9, 2015.

The facility failed to assure physician notification for 2 of 7 sampled residents with low heart rate and elevated blood pressure. Specifically, Resident #4 had documented low heart rates without physician notification, and Resident #5 had blood pressures outside ordered parameters without documentation of physician notification.

Biennial Construction Survey conducted to assess compliance with the 1996 Homes for the Aged and Disabled Minimum Standards and Regulations, the 2005 Rules for Adult Care Homes, and the 1996 Edition of the North Carolina State Building Code.

Multiple physical plant deficiencies were identified including housekeeping and furnishings issues, unsafe building equipment conditions, impaired fire safety features, blocked or malfunctioning doors, inadequate ventilation maintenance, and fire resistance breaches requiring a plan of correction.