Inspection Reports for Yadkin Valley Senior Living

The facility failed to ensure residents were provided non-disposable place settings including a knife, fork, spoon, plate, and beverage containers for each meal. Observations and interviews revealed that meals served in residents' rooms were delivered on disposable styrofoam trays with disposable cutlery, contrary to facility policy and regulatory requirements.

The deficiency involved the fire panel and alarm system maintenance, which required servicing and repair to ensure proper functioning and compliance with safety standards. The facility administrator outlined corrective actions, preventive measures, and monitoring plans to maintain compliance.

Deficiencies remain uncorrected. The facility failed to maintain current sanitation and fire safety inspection reports and failed to maintain fire system safety components in a safe and operating condition, including a fire alarm control panel indicating trouble with a detector.

The facility was found to have multiple deficiencies including failure to meet North Carolina State Building Code requirements, lack of current fire and building safety inspection reports, unsecured janitor's closets, poor housekeeping and maintenance of furnishings, hazards related to unsecured oxygen bottles, failure to maintain fire safety systems and equipment in safe operating condition, plumbing issues, and inadequate exhaust ventilation in required areas.

The facility failed to ensure tuberculosis testing for 2 of 4 sampled staff upon hire, failed to validate competency for licensed health professional support tasks for 1 staff, lacked a matching therapeutic diet menu for a resident, did not have an active activity program or posted calendar, and failed to ensure medication aides received required infection control training and medication competency validation.

The complaint investigation was initiated by the Surry County Department of Social Services on 03/05/19 and included a follow-up survey conducted on 03/14/19 through 03/15/19 and 03/18/19.

The facility failed to notify primary care providers for 2 of 3 sampled residents regarding fingerstick blood sugars greater than 350, antifungal medication, and blood pressure results outside ordered parameters. The facility also failed to implement physician's orders for 3 residents related to CPAP, blood pressures, lab tests for antipsychotic medication, finger stick blood sugars, and continuous oxygen. Additionally, medications were not administered as ordered for 3 residents, including an antibiotic, steroid, antipsychotic, and medications for COPD and glaucoma. The facility failed to implement infection control procedures consistent with CDC guidelines, resulting in sharing of glucometers among residents, risking exposure to bloodborne pathogens.

The facility failed to notify health care providers for 3 of 5 sampled residents regarding referrals and abnormal clinical parameters, failed to implement physician orders for medications and treatments for 1 resident, failed to administer medications within the scheduled time frames for 5 residents, and failed to document oxygen administration for 1 resident. These failures placed residents at risk for adverse health outcomes and constitute an Unabated Type B Violation.

Complaint investigations were initiated by the Surry County Department of Social Services on 07/09/18, 07/11/18, and 07/18/18 related to allegations including staff misconduct and facility conditions.

The facility failed to maintain clean and safe conditions including stained and worn carpets, moldy showers, and raised door thresholds causing difficulty for wheelchair residents. Hot water temperatures exceeded safe limits in multiple locations. Staff competency validation for use of Hoyer lift was inadequate. Medication administration errors were observed including incomplete orders, missed doses, and improper infection control practices. The facility failed to report allegations of staff misconduct to the Health Care Personnel Registry in a timely manner.

The facility was found to be out of compliance because the Fire Marshal inspection report was not current; the most recent report was dated 12-16-2014, and a new inspection was scheduled but not yet completed.

The facility was found deficient in several areas including lack of current annual fire marshal and sanitation inspection reports, broken floor tiles, unsafe storage of portable medical oxygen cylinders, lack of monthly inspections of the range hood fire suppression system, failure to conduct required fire drill rehearsals quarterly on each shift, malfunctioning emergency lights and exit signs, compromised fire-rated walls and ceilings with unsealed penetrations, and corridor doors that do not close or latch properly to resist fire and smoke.

The facility failed to provide a minimum of 14 hours of planned group activities per week that promote socialization, physical interaction, group accomplishment, creative expression, increased knowledge, and learning of new skills. Observations, interviews, and record reviews revealed scheduled activities were often not provided as planned, residents expressed dissatisfaction with the activity program, and outings had not occurred for several months.

The facility failed to maintain walls, ceilings, and floors in good repair and clean, with mildew growth observed in bathrooms. The building's fire resistance was compromised due to unsealed penetrations and broken drywall seams. Plumbing issues included a sink without an anti-siphon device and a loose toilet with water at the base. Fire and smoke doors did not operate correctly, and exhaust ventilation systems were not maintained in working condition, with radiation dampers activated and closed in some exhaust fans.

The facility was found to have multiple deficiencies including inaccessible electrical panels, exit doors lacking single-hand motion locks, poor housekeeping with mildew and hazards, unsafe building equipment and fire safety issues, and malfunctioning mechanical exhaust systems.

The complaint investigation was initiated by the Surry County Department of Social Services on November 12, 2014, regarding failure to implement a physician's order for blood pressure checks.

The facility failed to implement a physician's order for twice daily blood pressure checks for one resident, and failed to ensure that one medication aide passed the required medication aide written exam within 60 days of hire. The complaint investigation revealed issues with documentation and implementation of physician orders and medication aide competency.