Inspection Reports for The Shaire Center
1450 Shaire Center Drive Lenoir, NC 28645, Lenoir, NC, 28645
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
8.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% worse than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Jul 15, 2025
Visit Reason
The Adult Care Licensure Section and the Caldwell County Department of Social Services conducted an annual and follow up survey and a complaint investigation on 07/15/25 through 07/16/25.
Complaint Details
The complaint investigation involved an allegation that Staff A slapped Resident #2 after the resident pinched the staff. The facility investigated the incident and deemed it unsubstantiated but failed to report the allegation to the Health Care Personnel Registry as required.
Findings
The facility failed to clarify medication orders for 2 of 5 sampled residents related to orders for a multivitamin, inhaler, insulin, and antifungal cream. Additionally, the facility failed to complete required reports to the Health Care Personnel Registry concerning an allegation of physical abuse involving a staff member and a resident.
Deficiencies (2)
Failed to clarify medication orders for 2 of 5 sampled residents related to orders to start a multivitamin and change an inhaler, and incomplete orders for pre-meal insulin, long-acting insulin, and an antifungal cream.
Failed to complete a 24-hour initial allegation report followed by a 5-day investigation report to Health Care Personnel Registry concerning an allegation of physical abuse related to a staff slapping a resident.
Report Facts
Number of sampled residents with medication order issues: 2
Dates of survey: 07/15/25 through 07/16/25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in physical abuse allegation involving Resident #2 | |
| Director of Nursing | Director of Nursing | Contacted PCPs for medication order clarifications and involved in abuse allegation investigation |
| Resident Care Coordinator | Resident Care Coordinator | Responsible for reviewing FL2s before PCP signature and involved in medication order clarifications |
| Special Care Coordinator | Special Care Coordinator | Reported witnessing of alleged staff abuse |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Feb 27, 2024
Visit Reason
Follow-up visit conducted as a Construction Section Biennial Survey to verify corrections.
Findings
Corrections have been made and no further action is needed.
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Feb 6, 2024
Visit Reason
The Adult Care Licensure Section conducted an annual survey on February 6-7, 2024, to assess compliance with regulations related to nutrition and food service in the facility.
Findings
The facility failed to have a matching therapeutic diet menu for physician-ordered pureed diets for 2 of 2 sampled residents and failed to ensure these residents were served a physician-ordered pureed diet with proper consistency. Observations revealed that pureed foods were not processed to a smooth consistency and the facility used a mechanical soft menu as guidance instead of a pureed diet menu.
Deficiencies (2)
Facility failed to have a matching therapeutic diet menu for guidance of food service staff for residents with physician-ordered pureed diets.
Facility failed to ensure residents were served a physician-ordered pureed diet with proper consistency; pureed foods contained small pieces and were not smooth.
Report Facts
Number of sampled residents with pureed diet issues: 2
Dates of survey: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director (FSD) | Interviewed regarding use of menus and food preparation practices. | |
| Registered Dietitian (RD) | Contracted RD interviewed about menu approval and consultation. | |
| Dietary Manager (DM) at sister facility | Interviewed about menu design and use. | |
| Administrator | Interviewed about menu use and awareness of food consistency issues. | |
| Medication Aide (MA) | Interviewed regarding Resident #1's diet change. | |
| Personal Care Aide (PCA) | Interviewed regarding Resident #6's diet change and health status. | |
| Dietary staff | Interviewed about food pureeing process and consistency. |
Inspection Report
Capacity: 82
Deficiencies: 19
Date: Jul 18, 2018
Visit Reason
The report documents a Construction Section Biennial Survey conducted on 7-18-2018 to assess compliance with physical plant, fire safety, and other regulatory requirements for The Shaire Center, a licensed adult care home.
Findings
The facility was found to have multiple deficiencies including failure to meet NC State Building Code requirements for special locking doors, lack of hand grips in bathrooms, corridor obstructions, improper handling of oxygen cylinders, missing documentation for fire safety inspections, malfunctioning emergency lights and exit signs, compromised fire-rated walls and doors, and non-functioning exhaust ventilation in some areas. Several deficiencies were corrected during the survey.
Deficiencies (19)
No wiring diagram posted under glass at the fire alarm panel.
Some special (magnetic) locking exits did not unlock properly when the central emergency release switch was activated.
No hand grips provided at the toilet in the women's and men's bathrooms near the front door.
Corridor was not free of obstructions; a walker and a fan reduced clear width to less than 4 feet.
Portable medical oxygen cylinders were improperly stored without racks or containers in rooms 37 and 40.
No documentation of required monthly inspections for range hood fire suppression system and fire extinguishers for May and June.
Toilet loosely mounted to the floor in the shower room by room 4.
Towel bar missing in the bathroom off room 38 with sharp edges exposed.
Evacuation plan posted near room 3 was not oriented correctly to the structure.
Fire drill rehearsals not done regularly with at least one per shift each quarter; records incomplete or missing shift and rehearsal description.
Battery powered emergency lights would not work when tested in multiple locations including corridor near room 9, A Hall dining, and corridor near D Hall dining.
Exit sign in corridor near mechanical room did not work on battery when tested.
Holes and penetrations in one-hour fire rated walls and ceilings not sealed properly in laundry, office, and pharmacy.
Many corridor doors did not close completely and latch, including doors to rooms 16, 32, 33, beauty parlor, shower room on B Hall, and D Hall dining door with loose hinge.
Sampling tube for duct mounted smoke detector in mechanical room was very dirty.
Magnetic hold-open device falling off smoke barrier door near pharmacy with sharp edges exposed.
Outside receptacle box falling off wall near exit from D Hall and not GFCI protected.
No power at GFCI type receptacle in bathroom off room 21.
Exhaust ventilation not working in hopper room and nurse restroom.
Report Facts
Total licensed capacity: 82
Number of portable oxygen cylinders improperly stored: 3
Clear corridor width: 4
Required fire drill rehearsals: 1
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Mar 7, 2018
Visit Reason
The Adult Care Licensure Section and the Caldwell County Department of Social Services conducted an annual survey on March 7-8, 2018 to assess compliance with medication administration and use of physical restraints regulations.
Findings
The facility failed to assure the accuracy of Medication Administration Records (MARs) for three sampled residents related to documenting administration of controlled medications and PRN medications. Additionally, the facility failed to have a physician's order for assist bed rails used as restraints for one resident with a history of falls.
Deficiencies (2)
Failure to accurately document administration of medications including Xanax, Ativan, Oxycodone, Tramadol, and Guaifenesin cough syrup with codeine for residents #3, #4, and #5.
Failure to have a physician's order for assist bed rails (enablers) used to keep Resident #2 from voluntarily getting out of bed.
Report Facts
Doses of Xanax documented on Controlled Drug Sheet vs MAR: 58
Doses of Xanax documented on Controlled Drug Sheet vs MAR: 55
Doses of Ativan documented on Controlled Drug Sheet vs MAR: 10
Doses of Ativan documented on Controlled Drug Sheet vs MAR: 9
Doses of Oxycodone documented on Controlled Drug Sheet vs MAR: 13
Doses of Oxycodone documented on Controlled Drug Sheet vs MAR: 9
Doses of Tramadol documented on Controlled Substance Log vs MAR: 16
Doses of Tramadol documented on Controlled Substance Log vs MAR: 11
Doses of Guaifenesin cough syrup with codeine documented on Controlled Substance Log vs MAR: 12
Doses of Guaifenesin cough syrup with codeine documented on Controlled Substance Log vs MAR: 2
Inspection Report
Capacity: 82
Deficiencies: 9
Date: Aug 9, 2016
Visit Reason
Biennial Construction Survey conducted to ensure the facility meets applicable rules and building codes including the 1984 rules for Homes for the Aged and Disabled, 2005 Rules for Adult Care Homes, and the 1978 Edition of the North Carolina State Building Code.
Findings
The facility was found deficient in multiple areas including lack of current sanitation and fire safety inspection reports, disabled soil utility room hopper, damaged wall finish in shower room, unsafe storage of portable oxygen cylinders, algae growth in ice machine drain line, missing fire safety rehearsal records, malfunctioning special locking exit doors, compromised fire rated walls and ceilings, and corridor doors that do not close or latch properly.
Deficiencies (9)
Facility did not have current sanitation and fire safety inspection reports; most recent sanitation inspection dated 4-15-2015.
Soil utility room hopper disabled with a shelf built on top.
Damaged wall finish in the shower room on A Hall.
Building not maintained free of hazards; portable medical oxygen cylinders stored without containers, posing safety risk.
Growth of algae from ice machine drain line near floor drain, risking ice contamination.
Records for fire safety rehearsals on each shift for second quarter of 2016 were not available onsite.
Special locking exit doors at ends of A Hall and D Hall did not unlock automatically on fire alarm activation as required by code.
One-hour fire rated walls and ceilings compromised by holes and penetrations in multiple locations including shower room, utility rooms, men's bath, water heater room, kitchen.
Many corridor doors prevented from closing quickly and latching, including doors to bedrooms 6, 8, 14, 15, 17, beauty salon, and living room on D Hall.
Report Facts
Total licensed beds: 82
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