Inspection Reports for The Parc at Sharon Amity

The facility was found to have multiple deficiencies related to physical plant requirements including fire safety system malfunctions, housekeeping and furnishings in disrepair, lack of required bedroom furnishings, incomplete fire safety rehearsal documentation, malfunctioning emergency lighting, and inadequate exhaust ventilation in specified areas.

Complaint investigations were initiated by the Mecklenburg County Department of Social Services on 12/09/24 and 12/11/24 related to Resident #6's refusal to eat meals and failure to notify the PCP.

The facility failed to ensure referral and follow-up to meet the acute health care needs of Resident #6 related to meal refusals and failed to serve three nutritionally adequate meals. Additionally, the facility failed to administer medications as ordered for Resident #2, related to topical medications and a vision medication, due to delays in medication refills and coordination with pharmacies.

The facility was found deficient in serving therapeutic diets correctly, maintaining residents' rights in dining, and infection prevention and control related to a scabies outbreak affecting 52 Special Care Unit residents. The facility failed to treat all residents after one confirmed scabies diagnosis and did not implement adequate infection control measures.

The complaint investigation substantiated that Resident #1 was physically abused by staff during a forced shower on 10/29/23, resulting in a lumbar fracture and hospitalization. Criminal charges were not filed. The facility provided a plan of protection on 11/09/23 with a correction date not to exceed 02/01/24.

The facility failed to ensure Resident #1 was free from physical and mental abuse, specifically related to forcing a shower which caused injury requiring hospitalization and surgery. The investigation included reviews of resident records, interviews with staff, resident, family members, and law enforcement, confirming the abuse and resulting harm.

The survey included a complaint investigation component as stated in the initial comments, but specific substantiation status is not provided.

The facility failed to ensure medications were properly labeled and administered according to physician orders for multiple residents, including errors with insulin dosage, medication availability, and documentation. There were issues with medication cart audits, pharmacy communication, and medication administration records (eMAR) accuracy.

The complaint investigation focused on infection control practices during a COVID-19 outbreak, including testing, isolation, PPE use, environmental cleaning, signage, and quarantine procedures.

The facility failed to implement CDC, NC DHHS, and local health department guidance for COVID-19 infection prevention including timely testing and retesting of residents and staff, proper isolation and cohorting of COVID-19 positive residents, appropriate use and donning/doffing of PPE by staff, environmental cleaning practices, posting of infection control signage, and quarantining a resident readmitted from the hospital with unknown COVID-19 status. These failures increased the risk of COVID-19 transmission among residents and staff.

The facility failed to meet the health care needs of one resident (#3) by not coordinating a neurologist visit for a resident with Parkinson's disease. Documentation showed no neurologist appointments scheduled or attended since 11/21/18, despite directives to follow up. Interviews confirmed the resident had not seen the neurologist and the facility did not ensure appointments were scheduled or followed up.

The facility failed to assure referral and follow-up for two residents related to notifying the physician for blood glucose levels above parameters and delayed mental health referral. The facility also failed to assure medications were properly labeled and administered as ordered, including insulin and mood stabilizers, and failed to maintain accurate electronic medication administration records (eMARs). These failures placed residents at substantial risk for physical harm.

The facility failed to ensure proper medication administration and labeling for multiple residents, including errors in medication orders, administration times, and documentation. Several medications were not administered as ordered, and some medications were administered incorrectly or not at all, resulting in potential harm to residents.

The facility failed to maintain clean floors in one resident's room, failed to assure physician notification for medication refusals and missed treatments for two residents, failed to serve therapeutic diets as ordered for one resident, failed to administer medications as ordered for three residents, failed to maintain accurate medication administration records for five residents, and failed to follow infection control procedures during medication administration for two residents.

The facility was found deficient in multiple areas including failure to meet building code requirements for smoke detectors, housekeeping issues with dust and trash accumulation, unsafe storage of medical oxygen cylinders, improper storage near fire sprinkler heads, excessive combustible storage, incorrect exit signage, missing handrail parts, lack of circuit directory, missing fire suppression inspection documentation, inadequate fire drill rehearsals, electrical outlets lacking GFCI protection, malfunctioning smoke detectors and emergency lights, malfunctioning exit signs, corridor doors not closing or latching properly, compromised fire-rated walls and ceilings, and presence of prohibited portable electric heaters.

The facility failed to maintain walls, ceilings, floors, and floor coverings in clean and good repair in multiple resident rooms, common living areas, and the main dining room. Additionally, the facility failed to serve water to residents at breakfast and did not serve therapeutic diets as ordered for a sampled resident.

The facility failed to meet sanitation grade requirements with a recent sanitation inspection score of 82.5, below the required 85. Additionally, the fire alarm system showed a 'Trouble' and 'Local Silence' condition which was corrected the following day. Several corridor doors, including double doors to the dining room and a fire-rated door to the storage room, were found not closing or latching properly, posing fire safety risks.

The facility was found to have multiple deficiencies including sanitation scores below required levels, unsafe housekeeping and storage practices, inadequate fire safety rehearsals, malfunctioning fire safety equipment, compromised fire-rated walls and doors, and other safety hazards such as non-working emergency lights and missing toilet tank tops.

The facility failed to properly maintain special locking devices on exit gates, had unresolved fire alarm deficiencies, housekeeping issues with ice machine drain line, compromised fire rated walls and ceilings, inaccessible emergency release switches, intermittent fire alarm trouble conditions, and obstructed corridors reducing evacuation safety.