Inspection Reports for Wilkesboro Assisted Living Center

206 Old Brickyard Road North Wilkesboro, NC 28659, North Wilkesboro, NC, 28659

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Inspection Report Summary

The most recent inspection on June 4, 2024, found that all previously identified deficiencies had been corrected and no further action was required. Earlier inspections cited issues mainly related to building safety and maintenance, including fire safety equipment malfunctions, ventilation problems, and sanitation documentation lapses. Prior reports also noted medication administration errors and cleanliness concerns with kitchen equipment. Complaint investigations were limited, with one substantiated case in 2017 involving medication errors. The facility appears to have addressed past deficiencies, showing improvement in recent inspections.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

4% better than North Carolina average
North Carolina average: 5.2 deficiencies/year

Deficiencies per year

12 9 6 3 0
2016
2017
2018
2019
2024

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Jun 4, 2024

Visit Reason
The document serves as a plan of correction following a prior inspection, indicating that all deficiencies have been corrected based on documentation received on May 8, 2024.

Findings
All previously identified deficiencies have been corrected and no further action is required.

Inspection Report

Census: 72 Capacity: 102 Deficiencies: 3 Date: Apr 16, 2024

Visit Reason
The inspection was a Construction Section Biennial Survey conducted to assess compliance with building codes and licensing rules for the Wilkesboro Assisted Living Center, including evaluation of physical plant conditions and safety equipment.

Findings
Deficiencies were cited including failure to maintain current sanitation and fire safety inspection reports, emergency lights not illuminating in Room 303, and multiple exhaust fans not working in various locations such as the 400 Hall staff station, Room 400, and 400 Hall bathroom.

Deficiencies (3)
Facility failed to maintain current (within last twelve months) annual sanitation and fire safety inspection reports.
Emergency lights in Room 303 did not illuminate when tested.
Exhaust fans in 400 Hall staff station, Room 400, and 400 Hall bathroom were not working.
Report Facts
Licensed capacity: 102 Current census: 72

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Aug 13, 2019

Visit Reason
The Adult Care Licensure Section and the Wilkes County Department of Social Services conducted an annual and follow-up survey on August 13-14, 2019.

Findings
The facility failed to ensure the reach-in ice machine in the kitchen was clean and free of contamination due to a black and pink residue inside the machine. Observations and interviews revealed lack of regular cleaning and oversight of the ice machine's sanitation.

Deficiencies (1)
The reach-in ice machine in the kitchen was not clean and had a black and pink residue inside.
Report Facts
Inspection score: 99.5 Demerit: 0.5

Employees mentioned
NameTitleContext
Dietary ManagerDietary ManagerInterviewed regarding cleaning responsibilities of the ice machine
Maintenance AssistantMaintenance AssistantInterviewed about ice machine maintenance and cleaning responsibilities
Maintenance DirectorMaintenance DirectorInterviewed about oversight of ice machine cleaning and maintenance schedule
AdministratorAdministratorInterviewed about awareness of ice machine cleaning schedule and practices

Inspection Report

Capacity: 102 Deficiencies: 12 Date: Sep 11, 2018

Visit Reason
Biennial Construction Survey conducted to assess compliance with building codes and adult care home licensing rules, including physical plant, fire safety, housekeeping, and equipment maintenance.

Findings
Multiple deficiencies were identified including improper storage in bathrooms, mispositioned cooking equipment affecting fire suppression, obstructed exit paths, use of prohibited extension cords, incomplete fire safety rehearsals, malfunctioning fire safety equipment, portable electric heaters prohibited by code, and inadequate exhaust ventilation.

Deficiencies (12)
Many items stored in the 200 Hall central bathroom making it unusable.
Cooking equipment associated with the range hood fire suppression system was not properly positioned and maintained free of hazards.
Exterior exit paths were obstructed with chairs and tables.
Lamp cord type extension cord used in place of permanent wiring in room 412.
Fire drill rehearsals not done regularly with at least one per shift each quarter.
Warning device ('screamer') protecting emergency release switch not working.
Corridor doors prevented from closing quickly and latching, compromising fire and smoke resistance.
One-hour fire rated walls and ceilings compromised by unsealed holes and penetrations.
Battery powered emergency light in Special Care Courtyard exit gate would not work when tested.
Clothes dryer vent partially dislodged causing unsafe accumulation of combustible lint.
Portable electric heaters found in Administrator's and Business offices, prohibited by code.
Required exhaust ventilation not working in chemical storage off laundry, 400 Hall bathroom, and lint accumulation in Special Care laundry vent.
Report Facts
Licensed capacity: 102 Fire drill missing rehearsals: 2 Obstructions: 3 Portable electric heaters: 2

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Sep 27, 2017

Visit Reason
The Adult Care Licensure Section and the Wilkes County Department of Social Services conducted an annual survey and complaint investigation on September 25-27, 2017. The complaint investigation was initiated by the Wilkes County Department of Social Services on August 21, 2017.

Complaint Details
The complaint investigation was initiated by the Wilkes County Department of Social Services on August 21, 2017, related to medication administration errors involving Residents #8 and #9.
Findings
The facility failed to administer aspirin and potassium chloride as ordered for 2 of 5 residents observed during a morning medication pass. Resident #8 was administered only 1 of 2 ordered aspirin tablets, and Resident #9 was initially administered only 1 of 2 ordered potassium chloride capsules. Medication packaging and administration procedures were found to be inconsistent, leading to medication errors.

Deficiencies (2)
Failed to administer aspirin as ordered for Resident #8, administering only 1 of 2 tablets during a morning medication pass.
Failed to administer potassium chloride as ordered for Resident #9, initially administering only 1 of 2 capsules during a morning medication pass.
Report Facts
Tablets of aspirin dispensed: 420 Tablets of aspirin documented administered: 386 Capsules of potassium chloride dispensed: 358 Capsules of potassium chloride documented administered: 288 Excess tablets: 4 Excess capsules: 22

Employees mentioned
NameTitleContext
Staff AMedication AideObserved administering only 1 aspirin tablet to Resident #8 during medication pass.
Staff DMedication AideObserved administering potassium chloride capsules to Resident #9, initially giving only 1 capsule and later administering the second.
Special Care CoordinatorInterviewed regarding medication administration procedures and plans to check medications on delivery.
AdministratorInterviewed regarding pharmacy packaging practices and facility medication administration policies.
Resident Care CoordinatorInterviewed regarding medication delivery checks for Assisted Living residents.

Inspection Report

Capacity: 102 Deficiencies: 7 Date: Sep 13, 2016

Visit Reason
Biennial Construction Survey conducted to assess compliance with building codes and physical plant requirements following a capacity increase to 102 beds.

Findings
The facility was found to have multiple deficiencies including lack of wiring diagram for special locking, outdated fire safety inspection report, improper storage of oxygen cylinders, incomplete fire safety rehearsal records, non-functioning emergency lights, corridor doors not latching properly, and non-functioning exhaust ventilation in certain areas.

Deficiencies (7)
No wiring diagram provided under glass adjacent to the fire alarm panel as required by Section 1012.6 of the 1996 NC State Building Code.
Most recent Fire Marshal building safety inspection report dated May 2015; annual inspections required.
Portable medical oxygen cylinders stored in unapproved cardboard delivery boxes.
Records of fire safety rehearsals lacked description of what the rehearsal involved.
Several battery powered emergency lights would not work when tested, including in DON office, laundry, corridor near room 412, remote serving, and Special Care Unit living room.
Corridor doors prevented from closing quickly and latching, including smoke barrier doors near rooms 106 and 111, and doors to bedrooms 114 and 411.
Exhaust ventilation not working in bathroom off room 112 and housekeeping in Special Care.
Report Facts
Total licensed capacity: 102 Deficiencies cited: 7

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