Inspection Reports for The Ridge at Pikeville

The Adult Care Licensure Section conducted an annual survey from May 20, 2025 to May 21, 2025 to assess compliance with adult care home regulations.

The facility failed to secure hazardous items accessible to residents on the Special Care Unit, maintain hot water temperatures within safe limits, ensure physician orders were implemented and clarified, and accurately administer and document medications for sampled residents.

This is a Biennial Follow Up Construction Survey conducted to verify correction of deficiencies identified in a prior Biennial Construction Survey.

The facility has outstanding deficiencies related to building equipment maintenance, including fire safety equipment with rusted sprinkler heads, hot water temperatures exceeding regulatory limits, and inadequate exhaust ventilation in specified areas such as the laundry room.

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 1996 (1997 Revision) Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure.

Multiple deficiencies were cited related to physical plant and safety including fire alarm system issues, lack of hand grips in bathrooms, absence of wanderer alarms on exit doors, housekeeping and maintenance problems, fire safety rehearsals record deficiencies, unsafe building equipment conditions, plumbing and hot water system issues, and inadequate exhaust ventilation.

The Adult Care Licensure Section conducted an annual survey and complaint investigation on 11/01/23 and 11/02/23.

The facility failed to ensure medications were administered in accordance with infection control measures, as one medication aide did not wear gloves during a nasal medication administration. Additionally, the facility failed to ensure timely refunds to estate administrators for residents who had died, with refunds owed and unpaid for 4 of 5 residents reviewed.

The visit included a complaint investigation related to medication administration and refund processing. The complaint was substantiated based on observations, record reviews, and interviews.

The Adult Care Licensure Section conducted a follow-up survey from 10/31/22 to 11/01/22 to assess compliance with previously cited deficiencies related to resident supervision and medication administration.

The facility failed to provide adequate supervision for 2 of 5 sampled residents, resulting in multiple falls with injuries including fractures and bruises. Additionally, the facility failed to ensure proper medication administration for 4 of 5 residents, including crushing medications that should not be crushed, omitting medications, and failing to administer nutritional supplements as ordered.

The Adult Care Licensure Section conducted an annual survey of Countryside Village on July 20-21, 2022 to assess compliance with regulations related to personal care, supervision, health care, medication administration, and medication storage.

The facility failed to provide adequate supervision for two residents with aggressive behaviors resulting in resident-to-resident altercations, failed to notify providers of aggressive behaviors and inability to collect a urine sample, failed to ensure medication administration was observed and documented properly, and failed to secure the medication storage room, placing residents at risk of harm.

The Adult Care Licensure Section conducted a complaint investigation and a COVID-19 focused Infection Control survey following allegations of sexual abuse by a staff member involving two residents in a locked unit.

The facility failed to notify residents' primary care providers of reported sexual abuse and behavior changes, failed to report allegations to the Health Care Personnel Registry and local law enforcement, and failed to ensure residents were free from sexual abuse and neglect. Additionally, the facility did not follow CDC and state guidance for social distancing and mask wearing in the special care unit during the COVID-19 pandemic.

The complaint investigation was triggered by allegations of sexual abuse by Staff B involving two residents (#3 and #4). The Adult Home Specialist (AHS) made unannounced visits and reported complaints on 07/21/20 and 08/12/20. The facility failed to report these allegations timely to the Health Care Personnel Registry and local law enforcement, and failed to notify the residents' PCPs. Staff B resigned on 07/20/20 after the allegations.

The Adult Care Licensure Section conducted a follow-up survey from April 21, 2020 through May 1, 2020 to verify correction of a previously cited Type B violation related to medication aide training and competency.

The facility failed to ensure that one of three medication aides (Staff B) had successfully passed the written state medication aide exam within 60 days of completing clinical skills validation and training. Staff B administered medications without passing the exam, and training was completed online without hands-on instruction or validation by a registered nurse or licensed pharmacist.

The Adult Care Licensure Section conducted an annual survey of Countryside Village from February 12, 2020 through February 14, 2020 to assess compliance with state regulations.

The facility was found deficient in multiple areas including physical environment safety, housekeeping and furnishings, health care referrals and follow-up, nutrition and food service, medication administration, infection control, and medication aide training. Specific failures included unsecured hazardous cleaning products, disrepair of dining furniture, failure to ensure ordered therapies and medical supplies were provided, improper food storage and service, medication administration errors, sharing of glucometers between residents, and medication aides not passing required competency exams.

This is a biennial follow-up construction survey conducted to verify correction of previously identified deficiencies.

Several deficiencies were found not corrected, including improper separation of soiled and clean linens, outside premises not maintained in a clean and safe condition, and walls and furnishings not kept clean and in good repair with door hardware issues.

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 1996 (1997 Revision) Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure during a Construction Section Biennial Survey.

Multiple deficiencies were identified including failure to separate soiled and clean linens, malfunctioning wanderer alarm at the front door, outside premises not maintained in a clean and safe condition, ceilings and furnishings not kept clean and in good repair, facility not maintained free of hazards, and failure to maintain building equipment including electrical, plumbing, and fire safety systems in safe and operating condition.

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 1996 (1997 Revision) Edition of the North Carolina Building Code(s), Institutional Occupancy, and the 1996 Rules for Licensing of Adult Care Homes of Seven or More Beds in effect at the time of initial licensure. This was a Biennial Construction Survey.

Multiple deficiencies were found related to physical plant and safety including failure to meet building code requirements for special locking, maintenance issues with walls and furnishings, obstructions to electrical panels, fire safety equipment failures such as doors not closing and latching properly, gaps in fire resistant ceilings, and unsafe plumbing configurations.

Biennial Construction Survey to assess conformance with applicable licensing rules, state building codes, and minimum standards for a Home for the Aged.

Multiple physical plant deficiencies were identified including lack of required laundry equipment, unsanitary conditions in kitchen plumbing, missing fire extinguisher inspection documentation, faulty electrical outlets in wet locations, non-operational emergency lighting, smoke-resisting door issues, breaches in fire-resistance construction, and inadequate exhaust ventilation in certain areas.