Inspection Reports for Wellington Oaks

The Adult Care Licensure Section and the Guilford County Department of Social Services conducted an annual and follow-up survey on 03/25/25 through 03/26/25 to assess compliance with regulations.

The facility failed to ensure residents had opportunities for one-to-one activities weekly, failed to administer medications as ordered for 3 of 5 residents observed, failed to follow infection control measures during medication administration, and failed to secure medications properly during the medication pass.

This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to physical plant and safety requirements.

The facility was found to have multiple deficiencies including failure to meet NFPA 72 fire alarm door unlocking requirements, unclean mechanical systems, maintenance hazards such as protruding nails, malfunctioning smoke barrier doors, missing panic hardware components, electrical receptacle without power, and exterior doors that do not operate properly.

The Adult Care Licensure Section conducted an annual, follow-up and complaint investigation on 12/19/23 to 12/20/23.

The facility was found deficient in multiple areas including failure to secure hazardous materials storage, inadequate supply of fitted sheets for residents, lack of therapeutic diet menus for residents with special dietary needs, insufficient staff to provide individual feeding assistance, and failure to maintain current restraint orders for a resident using a reclining wheelchair.

The inspection included a complaint investigation component, but specific substantiation status was not stated.

Follow-up survey conducted to verify correction of a previously cited Type A1 violation related to supervision of residents with Alzheimer's disease and history of falls.

The facility failed to provide adequate supervision for Resident #2 with Alzheimer's disease and a history of falls, resulting in multiple unwitnessed falls without new interventions beyond existing measures. Additionally, medication administration errors were observed for Residents #6 and #7, including crushing a potassium supplement that should not be crushed and administering a duplicate dose of levothyroxine.

The Adult Care Licensure Section conducted an annual and follow-up survey and complaint investigation from 08/17/22 through 08/19/22.

The facility failed to provide adequate supervision for Resident #3, who had Alzheimer's dementia and a history of falls, resulting in serious injuries. Additionally, medication administration errors were identified for multiple residents, including failure to properly handle dropped medications and failure to ensure medication availability. Staff training and competency documentation deficiencies were also noted.

The visit included a complaint investigation related to Resident #3's supervision and falls.

This is a Biennial Follow Up Construction Survey to address previous deficiencies cited from the Biennial Construction Survey that require corrective action and a new Plan of Correction.

The facility does not meet licensure and code requirements in effect at the time of construction or alteration. Specifically, fire rated ceiling tiles have been replaced with non-fire-rated tiles, and 2x4 light fixtures along several halls lack 'boxing' to prevent the spread of fire or smoke.

The report documents a Construction Section Biennial Survey conducted to assess compliance with building codes and licensing rules applicable to the facility's physical plant and safety systems.

The survey found multiple deficiencies related to fire safety, housekeeping, building maintenance, and equipment operation. Issues included non-compliant ceiling tiles, unsecured oxygen bottles, fire safety system failures, damaged or missing door hardware, plumbing backups, and mechanical equipment dust accumulation.

This was a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to building maintenance and safety.

The facility was found not to have satisfactorily corrected prior deficiencies. Issues included concrete slabs in courtyards dropping and cracking, inadequate drainage causing water intrusion, emergency equipment not maintained in safe operating condition, fire/smoke barrier doors not latching properly, and a corridor door with a hole compromising fire safety.

This is a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to physical plant and safety code compliance.

The facility failed to correct prior deficiencies including improper location of the master emergency release switch for locked egress doors, hazards due to lack of general maintenance such as cracked concrete slabs and water intrusion, and multiple fire safety issues including doors not latching properly, missing fire-resistance features, and unsafe building conditions that could affect residents, staff, and visitors.

Biennial Construction Survey conducted to assess compliance with applicable building codes and licensing rules for adult care homes.

Multiple deficiencies were cited related to physical plant, fire safety, housekeeping, electrical systems, and ventilation. Issues included improperly operated special locking doors, unsecured hazardous substance storage, inadequate handrails, chronic odors, maintenance hazards, malfunctioning emergency and fire safety equipment, fire/smoke barrier failures, electrical safety violations, and non-functioning exhaust ventilation.

The Adult Care Licensure Section conducted an annual survey of the facility on 6/22/2016 to assess compliance with regulatory requirements.

The facility failed to ensure that 2 of 5 sampled staff were tested for Tuberculosis (TB) disease upon employment in compliance with control measures. Specifically, documentation of TB skin test results was missing for Staff B and Staff C.