Inspection Reports for Wilson House

The facility failed to provide the required exhaust ventilation equipment in the 300 Hall Day Room Bathroom, which remains a deficiency from the Biennial Construction Survey.

The survey identified multiple deficiencies including failure to maintain outside premises clean and safe, housekeeping and furnishings not kept clean and in good repair, fire safety equipment and building equipment not maintained in safe and operating condition, hot water temperature exceeding allowed limits, and lack of required exhaust ventilation in specified areas.

The survey found ongoing deficiencies including unapproved construction changes such as a magnetic locking system installed without proper approvals, walls and furnishings not kept clean and in good repair, failure to maintain fire safety equipment and building systems in safe operating condition, water damage and mechanical equipment issues, and inadequate exhaust ventilation with many fans not working.

The facility was found to have multiple deficiencies including unsafe storage of hazardous materials, improper staffing assignments with aides performing housekeeping and dietary duties, unsanitary kitchen conditions with refrigerator temperatures above safe levels, failure to provide the required 14 hours of weekly activities, medication administration errors, and failure to report an injury of unknown origin to the Health Care Personnel Registry.

The facility failed to administer medications as ordered to several residents, resulting in a Type A2 violation for medication administration. Additionally, the facility failed to provide supervision for a resident with blindness and glaucoma, resulting in a Type B violation. There was also a standard deficiency for failure to ensure physician notification after missed/refused medications.

Complaint investigations were initiated by the Wilson County Department of Social Services on 09/22/21 and 10/22/21 related to resident rights and safety concerns.

The facility failed to ensure the environment was free of hazards due to unlocked personal care products accessible to residents in the special care unit (SCU). Additionally, the facility failed to guarantee resident rights for two sampled residents, including verbal abuse of a resident and failure to notify a guardian prior to COVID-19 vaccination.

The facility failed to ensure appropriate referrals and follow-up care for 5 residents, including podiatry, dermatology, physical, occupational, and speech therapy, home health skilled nursing, laboratory, and dental services. Medication administration errors were found for 2 residents involving an antibiotic and an inhaler. These failures placed residents at risk for infection, delayed wound healing, aspiration, choking, and other health complications.

The facility failed to ensure notification of the primary care provider for a resident with significant weight loss, failed to implement physician orders for daily weights and urine swab collection for two residents, and failed to administer a diuretic medication as ordered for weight gain in one resident. These failures placed residents at increased risk and constitute Type B violations.

Complaint investigation triggered by multiple allegations including bed bug infestation, inadequate staffing, failure to provide adequate personal care and supervision, failure to follow health care referrals and follow-up, and failure to implement COVID-19 protocols.

The facility failed to maintain an environment free of hazards due to untreated bed bugs, failed to provide adequate personal care and supervision for residents with multiple falls and injuries, failed to ensure timely health care referrals and follow-up, failed to maintain adequate staffing levels in the special care unit, and failed to implement COVID-19 infection control protocols including screening, PPE use, and social distancing.

The facility failed to maintain fire safety components in a safe and operating condition, including corridor walls and doors not being smoke tight, interior doors out of adjustment with gaps allowing smoke/fire passage, damaged door hardware preventing doors from latching, and a delaminating wood door needing replacement.

The facility had several unresolved deficiencies including non-compliant renovations in shared toilet rooms, failure to maintain walls and floors with appropriate materials, trip hazards due to settled flooring, and multiple interior doors not maintained in a safe and operating condition allowing passage of smoke/fire or having damaged hardware.

Multiple deficiencies were cited including non-compliance with building code requirements in renovated shared toilet rooms, lack of current fire and sanitation safety inspection reports, absence of privacy curtains in bathrooms, failure to maintain floors, ceilings, walls, and furnishings in good repair, presence of hazardous obstructions, missing towel bars in bedrooms, and unsafe or non-operational building equipment including fire safety components and mechanical exhaust systems.

The facility failed to keep walls, ceilings, floors, and furniture clean and in good repair, with issues such as discolored wax buildup and grease deposits in the kitchen. Plumbing devices were not maintained in good repair, with broken and peeling counter laminate in resident rooms. The facility also failed to provide required individual towels and towel bars for each resident. Additionally, building equipment was not maintained in a safe condition, including a corridor door that did not latch properly.

Multiple deficiencies were cited including failure to maintain unobstructed exit discharge, failure to submit construction documents for approval prior to installation of special locking systems, poor housekeeping and maintenance issues, unsafe building equipment and fire safety systems, use of prohibited portable electric heaters, and failure to maintain proper ventilation systems.

The visit included a complaint investigation component as stated in the initial comments.

The facility failed to maintain an orderly, clean, and hazard-free environment, with multiple issues including peeling paint and floor tiles, broken and missing commode tank covers, missing toilet tissue holders, corroded and rusted faucets, broken vanities, stained and dusty bath chairs, damaged walls, and deteriorated bathroom fixtures across multiple halls and resident rooms.

Follow-up complaint survey; deficiencies were not corrected and corrective action is required.

The follow-up survey revealed that all deficiencies had not been corrected, specifically the facility failed to maintain a clean environment as live bed bugs or signs of bed bugs were found in resident rooms.

The visit included a complaint investigation related to allegations of abuse of Resident #10 by a staff member. The facility failed to report these allegations to the North Carolina Healthcare Personnel Registry.

The facility failed to maintain cleanliness and order in resident bathrooms and sinks, failed to serve therapeutic diets as ordered for a resident with fluid and dietary restrictions, and failed to administer medications as prescribed for multiple residents including errors with dialysis, diabetes, blood thinning, constipation, anxiety, and psychosis medications. Additionally, the facility failed to report allegations of abuse by a staff member to the North Carolina Healthcare Personnel Registry.

This was a follow-up complaint survey. The follow-up survey revealed that all deficiencies have not been corrected, therefore a new plan of correction is required.

The follow-up survey found that the facility has not maintained a clean environment free of bed bugs, with live bed bugs or signs of bed bugs observed in multiple resident rooms. Although treatment was performed on 7-21-15 and no pest activity was found on 7-27-15, the facility has not been free of bed bug activity for 30 days.

An anonymous complaint was received alleging bed bugs present in the facility and self-treatment by the facility. The complaint was substantiated based on observations and interviews.

The complaint was substantiated based on observations and interviews. Live bed bugs and signs of bed bugs were found in multiple resident rooms, and the facility failed to maintain cleanliness and preventative measures to monitor bed bug outbreaks.