Inspection Reports for Williamston House

The facility had multiple deficiencies including non-operational wanderer alarms on exit doors, failure to maintain electrical emergency lighting and fire safety equipment, holes and gaps in fire-resistant doors, missing sprinkler head components, non-alarming emergency switch boxes, loose toilet seats, blocked fire safety doors, and hot water temperatures exceeding regulatory limits.

The facility was found deficient in maintaining plumbing equipment in safe operating condition due to a leaking toilet, failed to maintain hot water temperatures within the required range in resident bathrooms, and did not serve a therapeutic diet as ordered for one resident with a texture modified diet.

Multiple deficiencies were cited including lack of wanderer alarms on exit doors, use of throw rugs, unsafe outside premises, unclean and unrepaired furnishings, hazards blocking electrical panels, improper storage of oxygen bottles, incomplete fire safety rehearsal logs, malfunctioning emergency lighting and fire safety equipment, plumbing issues, blocked or held-open fire doors, and inadequate hot water temperature and exhaust ventilation.

The complaint investigation was initiated by the Martin County Department of Social Services on February 15, 2023, regarding medication administration issues for Resident #1.

The facility failed to administer medications as ordered for 1 of 5 sampled residents, specifically a cholesterol medication (atorvastatin 20mg). The medication was not available on the medication cart, and the facility did not obtain a required new prescription, resulting in missed doses. Additionally, the medication administration records were inaccurate, documenting administration when the medication was not given.

Complaint investigation was initiated by the Martin County Department of Social Services on October 26, 2022, related to concerns about resident care and medication management.

The facility failed to notify the primary care provider (PCP) for two residents: Resident #2 who smoked in her room near oxygen tanks and exhibited verbal and physical aggression, and Resident #3 who was out on leave for 24 days but was only provided 6 days of medication and the PCP was not notified. These failures placed residents at risk of injury and health complications.

The complaint investigations were initiated by the Martin County Department of Social Services on August 12 and 19, 2022, leading to this follow-up survey and complaint investigation.

The facility failed to ensure proper notification to primary care providers for residents' health issues, timely administration of medications, and accurate medication administration records. Multiple residents experienced missed or delayed medications, improper medication administration techniques, and documentation errors, posing risks to their health and safety.

The complaint investigation was initiated due to concerns about personal care, medication administration, and health care follow-up deficiencies affecting multiple residents.

The facility failed to provide personal care according to care plans, ensure referral and follow-up for health care needs, administer medications as ordered, and maintain accurate medication administration records. These failures resulted in serious physical harm, injury, and neglect to multiple residents.

The facility failed to ensure adequate health care referral and follow-up for Resident #2, including coordination of podiatry care, physical therapy, gastrointestinal referrals, timely urine testing, and availability of antipsychotic medication. Medication administration errors were found for multiple residents, including failure to administer medications as ordered and improper inhaler technique. Blood pressure and pulse monitoring prior to administration of Propranolol was not performed as required. The facility also failed to discontinue medications as ordered for Resident #5.

The facility did not meet code requirements at the time of construction or renovation, specifically lacking a wiring diagram adjacent to the fire alarm panel for the magnetic locking system. Additionally, furnishings were not kept clean and in good repair, with peeling melamine finish and damaged or missing drawers in built-in cabinets in rooms 207 and 301.

Multiple deficiencies were cited including failure to meet physical plant requirements, improper use of bathrooms for storage, unsafe and unclean outside premises, poor housekeeping and furnishings, incomplete fire safety rehearsals, and failure to maintain building equipment and mechanical systems in safe operating condition.

Multiple deficiencies were cited including failure to maintain the building in a clean and orderly manner, disabled fire sprinkler system components, unsafe electrical systems, lack of proper maintenance and documentation for the commercial kitchen hood's fire suppression system, malfunctioning emergency equipment, doors not properly latching to resist smoke passage, inoperable call system, and failure of the exhaust ventilation system in the 300 Hall Spa.

The complaint investigation was initiated by the Martin County Department of Social Services on December 21, 2015, related to supervision, care, and staff behavior concerns.

The facility failed to provide increased supervision for 2 of 5 sampled residents, failed to assure referral and follow-up for routine and acute care needs for 3 residents, failed to assure thickened liquids were prepared and served as ordered for 1 resident, failed to assure medications were administered as ordered for 3 residents, and failed to assure residents were treated with respect and dignity related to staff behavior.

The complaint alleged ongoing bed bug issues and treatment. The complaint was substantiated.

The complaint was substantiated. The facility failed to maintain cleanliness, allowing bed bugs to persist despite over two months of extermination efforts. Bed bug carcasses, feces, and blood stains were found in multiple resident rooms, and the facility lacked procedures to prevent bites, screen incoming residents, or document inspections after treatments. Staff training on handling potentially infested items was also inadequate.