Inspection Reports for Vienna Village
6601 Yadkinville Road Pfafftown, NC 27040, Pfafftown, NC, 27040
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
23% better than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Mar 14, 2024
Visit Reason
The Adult Care Licensure Section conducted an annual survey on 03/13/24 and 03/14/24 to assess compliance with medication administration regulations.
Findings
The facility failed to administer medications as ordered for one resident during the morning medication pass, specifically crushing extended release medications that should not have been crushed, resulting in a 7% medication error rate (2 errors out of 28 opportunities). Interviews revealed communication and documentation gaps regarding medication crushing instructions.
Deficiencies (1)
Failed to administer medication as ordered for 1 of 3 residents observed during the morning medication pass, including crushing metoprolol succinate ER and potassium chloride ER which should not have been crushed.
Report Facts
Medication error rate: 7
Medication opportunities: 28
Metoprolol succinate ER tablets remaining: 22
Potassium chloride ER tablets remaining: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Medication Aide (MA) | Administered crushed medications to Resident #6 and was unaware that metoprolol succinate ER and potassium chloride ER should not be crushed. | |
| MA Supervisor | Responsible for auditing MARs monthly but did not ensure 'do not crush' instructions were present; unaware that Resident #6 was receiving all medications crushed. | |
| Resident Care Coordinator (RCC) | Responsible for typing medication lists and adding 'do not crush' instructions; believed MAs set aside medications that should not be crushed. | |
| Administrator | Expected MAs to read medication orders and not crush medications with 'do not crush' instructions; unaware that medications were being crushed improperly. | |
| Primary Care Provider (PCP) | Confirmed that metoprolol succinate ER and potassium chloride ER should not be crushed and explained risks of crushing extended release medications. |
Inspection Report
Capacity: 90
Deficiencies: 7
Date: Dec 11, 2019
Visit Reason
The inspection was a Construction Section Biennial Survey to assess compliance with building codes and licensing rules for an adult care home with multiple construction dates.
Findings
The facility was found to have multiple deficiencies including lack of hand grips in a bathroom, fire doors that did not close or latch properly, compromised fire-rated walls and ceilings, improperly mounted light fixture, plumbing drain lines not maintained safely, use of electrical outlet expanders not approved for institutional use, and improper storage near fire sprinkler heads. Some deficiencies were corrected during the survey.
Deficiencies (7)
No hand grip provided at the toilet in room B56.
Corridor doors prevented from closing quickly and latching, including fire doors near exit S-7, West Dining room door, utility room F53 door, and doors to rooms F40 and F65 not fitting openings properly to resist smoke passage.
Required one-hour fire rated walls and ceilings compromised by unsealed holes and penetrations in electrical rooms and ceiling damage near exit and clean linen room.
Light fixture improperly mounted and falling away from ceiling in room F53.
Ice machine drain line extended into floor drain, not maintained at least 2 inches above floor or drain.
Electrical outlet expander in use in corridor near room B73, not approved for institutional occupancies.
Improper storage too close to fire sprinkler heads in rooms B63 and pantry, corrected during survey.
Report Facts
Licensed capacity: 90
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Mar 15, 2018
Visit Reason
The Adult Care Licensure Section conducted an annual survey and a complaint investigation on March 14-15, 2018. The complaint investigation was initiated by the Forsyth County Department of Social Services on March 9, 2018.
Complaint Details
The complaint investigation was initiated by the Forsyth County Department of Social Services on March 9, 2018, regarding Resident #5's elopement and inadequate supervision.
Findings
The facility failed to provide adequate supervision for Resident #5, who exhibited exit seeking behaviors and eloped from the facility, resulting in a Type B violation. The resident was found on a busy road, and the facility did not initially place a body alarm on the resident despite known risks. The facility also failed to assure each resident received adequate and appropriate care and supervision in compliance with relevant laws and regulations.
Deficiencies (2)
Failed to provide supervision for Resident #5 who exhibited exit seeking behaviors and eloped from the facility.
Failed to assure each resident received care and services which were adequate, appropriate, and in compliance with relevant laws and regulations related to personal care and supervision.
Report Facts
Sampled residents: 5
Resident #5 admission date: Jan 22, 2018
Date of elopement incident: Feb 19, 2018
Safety checks frequency: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator/Human Resources Director | Interviewed regarding the elopement incident and facility response | |
| Administrator/Owner | Interviewed regarding the elopement incident and facility response | |
| Facility Social Worker | Involved in managing the elopement incident and resident supervision | |
| Maintenance Supervisor | Assisted in returning resident to facility after elopement | |
| Primary Care Physician | Interviewed regarding resident's condition and safety | |
| Second shift personal care aide | Interviewed about resident's behavior and supervision |
Inspection Report
Capacity: 90
Deficiencies: 3
Date: Sep 20, 2017
Visit Reason
The inspection was a Construction Section Biennial Survey conducted to assess compliance with applicable building codes and licensing rules for adult care homes of seven or more beds.
Findings
The survey found failures to maintain fire safety equipment in a safe condition, including gaps in resident room doors and cross corridor smoke partition doors that could allow smoke to spread. Additionally, electrical equipment was not maintained safely, evidenced by the use of a multi-plug adapter in place of fixed electrical equipment, which was corrected during the survey.
Deficiencies (3)
Pattern of resident room doors with gaps approximately ¼" or larger at the top of the frame between the door and the door stop.
Cross corridor smoke partition doors had gaps of approximately ¼" or larger between the two doors when closed.
Use of a multi-plug adapter plugged into an electrical outlet in place of fixed electrical equipment in the salon.
Inspection Report
Plan of Correction
Capacity: 90
Deficiencies: 7
Date: Jul 22, 2015
Visit Reason
Biennial Construction Survey conducted to assess compliance with applicable building codes and licensing rules for adult care homes.
Findings
Multiple deficiencies were noted including fire safety issues such as fire rated doors held open with magnets, compromised fire rated walls and ceilings, non-compliant exit door locks, lack of lever handles on medication prep sinks, presence of prohibited portable electric heaters, and disconnected exhaust systems.
Deficiencies (7)
Fire rated doors to the large main laundry and soiled utility room were held open with permanent magnets and would not automatically close upon detection of smoke.
Faucet on the handwashing sink in the medication preparation area was not equipped with lever handles.
One-hour fire rated walls and ceilings were compromised with unsealed penetrations in several locations including sprinkler riser room and linen closet F23.
Corridor was not maintained in a smoke resisting condition; hole through the door of the sprinkler riser room.
Exhaust duct for the ice machine room was disconnected in the attic from the exhaust fan.
Portable electric heater found in the closet off the Supervisor's office, which is prohibited; heater was removed during the survey.
An exit door required two hand motions to open due to a single cylinder deadbolt and an additional latch, delaying evacuation.
Report Facts
Licensed capacity: 90
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