Pricing ranges from
    $4,331 – 5,197/month

    Richmond Hill Rest Home

    95 Richmond Hill Rd, Asheville, NC 28806
    • Assisted Living
    • Skilled Nursing

    Feels like family, very satisfied

    I moved my sister here and we're very pleased - the staff are friendly, patient and professional, caregivers are attentive, management (including a new physician-led clinical team) has made clear improvements, and the building is clean, peaceful and feels like family; they even celebrated her birthday warmly. Overall I'm happy with the care and see room for continued refinement.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    3.75·(20)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      3.8
    • Meals

      1.0
    • Amenities

      2.0
    • Value

      3.8

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    Location

    Map showing location of Richmond Hill Rest Home

    Richmond Hill Rest Home is located at 95 Richmond Hill Rd, Asheville, NC, 28806.

    About Richmond Hill Rest Home

    Richmond Hill Rest Home sits on Richmond Hill Road in Asheville, North Carolina, and has space for just 12 residents, so folks say it feels a bit quieter and cozier since you're not living among a huge crowd, with just the right balance of privacy and community in semi-private living quarters, private one-bedroom suites, or small studio rooms, some with their own kitchenette if that's what a person prefers, and the staff sets out to provide care with a tailored plan for each resident, including help for those with dementia or Parkinson's disease, as well as regular assistance with bathing, dressing, medication, and transfers, so people can count on support twenty-four hours a day, with RNs on site, emergency alert systems, and security in place day and night. Residents get three cooked meals a day-planned for nutrition and special diets like allergies or diabetes-and can have snacks anytime, and if someone wants to eat in the dining room or in their own room, that's up to them, with help at mealtime available if needed. The building's designed for folks who use wheelchairs or walkers, and if someone wants to recover from surgery, the staff will help with that, too. There's a big list of amenities, including a communal kitchen, fitness center, salon/barbershop, movie theater, game room, library, community gardens, chapel for services, and both indoor and outdoor activities like arts and crafts, exercise classes, movie nights, and regular community events, so life doesn't get dull. Folks get help with things like laundry, cleaning, and even getting around town for appointments or shopping with scheduled and as-needed transportation, and Richmond Hill Rest Home allows residents to bring their dogs or cats, so a person doesn't have to leave behind their companion, and that's not always the case everywhere. There's nursing care, podiatry, wound care, continence management, and health programs, as well as an if a resident needs help getting to an activity or meal, and the building features washers and dryers, sprinkler systems for fire safety, Wi-Fi in the rooms, cable TV, phones, and a range of fitness options, plus maintenance and repair of rooms and common areas. They've got reviews and scores-averaging 6.4 out of 10, ranking 17th in Asheville and 815th in North Carolina-and licensing gets checked twice a year, so it's regulated pretty closely. Richmond Hill Rest Home #5 offers assisted living, memory care, board and care home services, and nursing home options, fitting residents who want some independence but need help here and there; staff helps folks with personal care and support, and they aim to create a supportive, friendly place where seniors can live with some dignity and independence, whether that means getting involved with garden walks, using the internet to keep in touch, or settling down with a good book in the library.

    People often ask...

    Richmond Hill Rest Home offers competitive pricing, with rates starting at a cost of $4,331 per month.

    Richmond Hill Rest Home offers assisted living, board and care, and skilled nursing.

    There are 3 photos of Richmond Hill Rest Home on Mirador.

    The full address for this community is 95 Richmond Hill Rd, Asheville, NC 28806.

    No, Richmond Hill Rest Home does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Carolina, the Division of Health Service Regulation licenses adult care and assisted living facilities, posting annual, complaint, and follow-up inspection results.

    License number921006
    Facility typeAdult Care Home
    Capacity12 residents
    View the official license record

    Inspection Reports

    117

    Reports

    96

    Type A Citations

    111

    Type B Citations

    43

    Complaints

    12

    Years

    08 May 2026Follow-Up
    Investigated and identified deficiencies: no working non-electric telephone available for residents and resident records not readily available on site.
    • 10A NCAC 13F .0306 (a)(12)Housekeeping And Furnishings
    • 10A NCAC 13F .1201(a)Resident Records
    21 Apr 2026Follow-Up
    Found the telephone was not working for residents and resident records were not maintained on-site and readily available.
    • 10A NCAC 13F .0906 (d)Telephone
    • 10A NCAC 13F .1201(a)Resident Records
    21 Apr 2026Follow-Up
    Identified deficiencies: resident records were not readily available and resident telephones were not functioning.
    • 10A NCAC 13F .0906 (d)Other Resident Care And Services
    • 10A NCAC 13F .1201(a)Resident Records
    06 Mar 2026Follow-Up
    Investigated a complaint and found multiple deficiencies including sanitation, bed bugs, linens, laundry, food service, and medication management; serious safety concerns observed.
    • Type A10A NCAC 13F .0306 (a)(4)Housekeeping And Furnishings
    • Type A10A NCAC 13F .0306 (a)(5)Housekeeping And Furnishings (a)(5)
    • Type B10A NCAC 13F .0306 (b)(1)Housekeeping And Furnishings (b)(1)
    • Type B10A NCAC 13F .0311(a)Other Requirements (a)
    • Type A10A NCAC 13F .0601Management Of Facilities - General Administrator And Manager Responsibilities
    • Type A10A NCAC 13F .0902(b)Health Care
    • Type B10A NCAC 13F .0904(a)(1)Nutrition And Food Service (a)(1)
    • Type B10A NCAC 13F .0904(c)(3)Nutrition And Food Service (c)(3)
    • Type B10A NCAC 13F .0909Resident Rights
    • Type B10A NCAC 13F .1004(a)Medication Administration
    • Type B10A NCAC 13F .1104(b)Accounting For Resident's Personal Funds
    06 Mar 2026Follow-Up
    Investigations identified significant sanitation and housekeeping deficiencies, including a bed bug infestation with multiple related observations.
    • Type A10A NCAC 13F .0306(a)(4)Housekeeping and Furnishings
    • Type A10A NCAC 13F .0306(a)(5)Housekeeping and Furnishings
    • Type B10A NCAC 13F .0306(b)(1)Housekeeping and Furnishings
    04 Mar 2026Follow-Up
    Investigated found extensive deficiencies across housekeeping, food safety, medication management, pest control, and records, with a bed bug infestation and unsafe conditions noted during the visit.
    • Type B10 NCAC 13F .0306(a)(3)Housekeeping and Furnishings
    • Bed Bug Infestation and Pest Control
    • Type B10 NCAC 13F .0904(a)(1)Food Procurement and Safety
    • Type B10 NCAC 13F .0904(c)(1)Food Storage and Sanitation
    • 10 NCAC 13F .0904(c)(3)Menu and Substitutions
    • 10 NCAC 13F .1004Medication Administration
    • 10 NCAC 13F .1201(a)Resident Records
    04 Mar 2026Follow-Up
    Cited multiple deficiencies including unsafe furnishings, bed bug infestation, poor food handling, medication administration lapses, and missing resident records.
    • 10A NCAC 13F .0306(3)Housekeeping And Furnishings
    • 10A NCAC 13F .0306(5)Housekeeping And Furnishings
    • Type B10A NCAC 13F .0306(5)Furnishings
    • 10A NCAC 13F .0904(1)Nutrition and Food Service
    • 10A NCAC 13F .0904(c)(3)Nutrition and Food Service
    • 10A NCAC 13F .1004(a)(1)-(2)Medication Administration
    • 10A NCAC 13F .1201(a)Resident Records
    10 Dec 2025Follow-Up
    Identified deficiencies related to communication access, activities programming, and resident records. Found that residents could not use a telephone not requiring electricity, there was no ongoing activities program, and resident records were not readily accessible on site.
    • 10A NCAC 13F .0306 (a)(12)Housekeeping And Furnishings
    • 10A NCAC 13F .0905Activities Program
    • 10A NCAC 13F .1201(a)Resident Records
    10 Dec 2025Follow-Up
    Identified multiple deficiencies in communication, activities, and resident-recordkeeping during the investigation.
    • 10A NCAC 13F .0306 (a)(12)Housekeeping And Furnishings
    • 10A NCAC 13F .0905 (a & b)Activities Program
    • 10A NCAC 13F .1201(a)Resident Records
    • Rule .0704 of this SubchapterRule .0704 Subchapter
    04 Sept 2025Follow-Up
    Identified failures in documenting medication administration and missing resident records. Observed discrepancies between eMAR and CSCS for anxiety-related medications and resident records not readily available.
    • 10A NCAC 13F .1004 (j) Medication AdministrationMedication Administration
    • 10A NCAC 13F .1201(a) Resident RecordsResident Records
    04 Sept 2025Follow-Up
    Identified deficiencies in medication documentation and resident records, including discrepancies between electronic records and written CSCS, and failure to maintain accessible resident records.
    • 10A NCAC 13F .1201(a) Resident RecordsResident Records
    04 Sept 2025Follow-Up
    Investigated a complaint and found issues with emergency telephone access, insulin administration, and resident record accessibility.
    • 10A NCAC 13F .0306 (a)(12)Housekeeping And Furnishings
    • Type A10A NCAC 13F .1004 (a)Medication Administration
    • 10A NCAC 13F .1201(a)Resident Records
    20 Aug 2025Follow-Up
    Found floors not in good repair due to moisture damage, with soft spots and chipped flooring in multiple areas awaiting restoration. Observed areas included a soft tub bath floor, soft corridor adjacent to Room 8, chipped VCT near the shower base, and soil washing at the slab.
    • 10A NCAC 13F .0305Floors-Non-skid, in Good Repair
    28 Jul 2025Follow-Up
    Identified that resident records were not readily available for review for three sampled residents; records were stored off-site in a separate building during an EMR conversion.
    • 10A NCAC 13F .1201(a)Resident Records
    28 Jul 2025Follow-Up
    Found resident records were not readily available for review; records were kept locked in a separate building during the visit while converting to electronic records.
    • 10A NCAC 13F.1201(a)Resident Records
    03 Jul 2025Complaint
    Identified a deficiency in CPR training coverage, with no staff on site certified within the past 24 months, creating risk to residents.
    • Type BEach adult care home shall have at least one staff person on the premises at all times who has completed within the last 24 months a course on cardio-pulmonary resuscitation and choking management, including the Heimlich maneuver, provided by the American Heart Association, American Red Cross, National Safety Council, American Safety and Health Institute or Medic First Aid, or by a trainer with documented certification as a trainer on these procedures from one of these organizations. The staff person trained according to this Rule shall have access at all times in the facility to a one-way valve pocket mask for use in performing cardio-pulmonary resuscitationTRAINING ON CARDIO-PULMONARY RESUSCITATION
    03 Jul 2025Complaint
    Investigated a CPR training deficiency; found no staff on site had current CPR certification within the last 24 months, and one staff member worked alone on multiple shifts before certification.
    • Type B13F.0507TRAINING ON CARDIO-PULMONARY RESUSCITATION
    03 Jun 2025Follow-Up
    Observed floors were not in good repair with soft spots and damaged coverings in several areas. Noted soil issues and water damage at the slab along the building.
    • 10A NCAC 13F .0305PHYSICAL ENVIRONMENT
    27 May 2025Complaint
    Investigated a complaint and found mismanagement of residents' personal funds, including uncashed checks and incomplete accounting, resulting in large outstanding balances.
    • Type AUpon the written authorization of the resident or his legal representative or payee, an administrator or the administrator's designee may handle the personal money for a resident, provided an accurate accounting of monies received and disbursed and the balance on hand is available upon request of the resident or his legal representative or payee.ACCOUNTING FOR RESIDENT'S PERSONAL FUNDS
    22 May 2025Complaint
    Identified failures to ensure timely follow-up with medical providers after hospital discharges, resulting in worsening symptoms for multiple residents.
    • Type B13F.0902(b) HEALTH CAREHEALTH CARE
    20 May 2025Complaint
    Found deficiencies in nutrition service, activities, and resident records. The issues included meals served on disposable plates, inadequate daily activities, and resident records not readily available.
    • 10A NCAC 13F .0904(b)(1)Nutrition and Food Service
    • 10A NCAC 13F .0905 (d)Activities Program
    • 10A NCAC 13F .1201(a)Resident Records
    20 May 2025Complaint
    Identified deficiencies in meal service, activities, and resident record management.
    • 10A NCAC 13F .0904(b)(1)Nutrition and Food Service
    • 10A NCAC 13F .0905 (d)Activities Program
    • 10A NCAC 13F .1201(a)Resident Records
    08 May 2025Follow-Up
    Investigated numerous deficiencies including unsecured oxygen storage, inoperable laundry facilities, insufficient management training, failures in clinical communication and care coordination, inadequate activity programming, medication administration errors, and missing resident records.
    • Type A10A NCAC 13F .0306 (a)(5)Housekeeping and Furnishings
    • Type A10A NCAC 13F .0311 (a)Other Requirements
    • Type A10A NCAC 13F .0402Qualifications Of Manager
    • Type A10A NCAC 13F .0902Health Care
    • Type A10A NCAC 13F .0905 (c)Activities Program
    • Type A10A NCAC 13F .0905 (d)Activities Program
    • Type A10A NCAC 13F .1004 (a)Medication Administration
    • Type A10A NCAC 13F .1004 (j)Medication Administration
    • Type A10A NCAC 13F .1201(a)Resident Records
    07 May 2025Follow-Up
    Investigated multiple deficiencies across management qualifications, supervision, nutrition, activities, resident rights, medications, and records.
    • 10A NCAC 13F .0402Qualifications Of Manager
    • 10A NCAC 13F .0901(b)Personal Care and Supervision
    • 10A NCAC 13F .0904(c)(1)Nutrition And Food Service
    • 10A NCAC 13F .0904(e)(3)Therapeutic Diets in Adult Care Homes
    • 10A NCAC 13F .0905 (a & b)Activities Program
    • 10A NCAC 13F .0909Resident Rights
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1004(j)Medication Administration
    • 10A NCAC 13F .1201(a)Resident Records
    07 May 2025Follow-Up
    Investigative findings disclosed multiple deficiencies related to supervision, nutrition, activities, and resident safety, indicating inadequate oversight and planning for resident care.
    • A210A NCAC 13F .0402Qualifications Of Manager
    • A210A NCAC 13F .0901(b)Personal Care and Supervision
    • A210A NCAC 13F .0904Nutrition and Food Service
    • A210A NCAC 13F .0904(e)Nutrition and Food Service - Therapeutic Diets
    • A210A NCAC 13F .0905Activities Program
    • G.S. 131D-34Protection of Residents
    02 May 2025Complaint
    Investigated a complaint and found that residents' personal funds were not accurately accounted for, with cash payments made toward pharmacy bills without receipts and without proper documentation of balances.
    • Type AACCOUNTING FOR RESIDENT'S PERSONAL FUNDS Upon the written authorization of the resident or his legal representative or payee, an administrator or the administrator's designee may handle the personal money for a resident, provided an accurate accounting of monies received and disbursed and the balance on hand is available upon request of the resident or his legal representative or payee.Accounting for Resident's Personal Funds
    01 May 2025Follow-Up
    Investigated multiple deficiencies across health care referrals, activities, resident rights, medication management, sanitation, and records, with failures to follow regulatory requirements in several care areas.
    • 10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .0905Activities Program
    • Type B10A NCAC 13F .0909Resident Rights
    • 10A NCAC 13F .1004 (j)Medication Administration
    • Type B10A NCAC 13F .1008 (a)Controlled Substances
    • 10A NCAC 13F .1008 (h)Controlled Substances
    • 10A NCAC 13F .1010 (d)Pharmaceutical Services
    • 10A NCAC 13F .1201Resident Records
    • 10A NCAC 13F .1212(a)Reporting of Accidents and Incidents
    01 May 2025Follow-Up
    Investigated found multiple deficiencies, including failures to follow through on health referrals, provide resident activities, maintain dignity through proper bathroom supplies, ensure accurate medication documentation, monitor controlled substances, and report incidents to authorities.
    • 10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .0905Activities Program
    • Type B10A NCAC 13F .0909Resident Rights
    • Type B10A NCAC 13F .1004 (j)Medication Administration
    • 10A NCAC 13F .1008 (a)Controlled Substances
    • Type B10A NCAC 13F .1008 (h)Controlled Substance
    • Type A10A NCAC 13F .1010 (d)Pharmaceutical Services
    • 10A NCAC 13F .1201(a)Resident Records
    • 10A NCAC 13F .1212(a)Reporting of Accidents and Incidents
    30 Apr 2025Inspection
    Identified deficiencies related to resident activities, rights, and recordkeeping; calendar activities were incomplete, towels were missing, and resident records were not properly maintained.
    • 10A NCAC 13F .0905 (a & 2) – Activities ProgramActivities Program
    • 10A NCAC 13F .0909 (Resident Rights); G.S. 131D-21Resident Rights
    • 10A NCAC 13F .1201(a) – Resident RecordsResident Records
    30 Apr 2025Inspection
    Identified deficiencies in activities programming, resident rights, and resident records. The home showed limited resident engagement, insufficient bathroom supplies, and resident records not maintained in the required location.
    • 10A NCAC 13F .0905 (a & b)Activities Program
    • 10A NCAC 13F .0909Resident Rights
    • 10A NCAC 13F .1201(a)Resident Records
    10 Apr 2025Complaint
    Investigated a complaint and found improper handling of residents' personal funds, leading to an unpaid pharmacy balance for one resident and potential exploitation.
    • Type AUpon the written authorization of the resident or his legal representative or payee, an administrator or the administrator's designee may handle the personal money for a resident, provided an accurate accounting of monies received and disbursed and the balance on hand is available upon request of the resident or his legal representative or payee.Accounting for Resident's Personal Funds
    10 Apr 2025Complaint
    Investigated a complaint about mismanagement of residents' funds; found improper handling and record-keeping of personal funds and co-payments, with deposits to the facility account and untracked transactions.
    • A113F.1104(b)ACCOUNTING FOR RESIDENTS' PERSONAL FUNDS
    09 Apr 2025Complaint
    Investigated a CPR training deficiency and found that no staff on site had current CPR certification; an agency staff member often worked alone without valid CPR training.
    • Type B13F.0507Training on cardiopulmonary resuscitation
    09 Apr 2025Complaint
    Identified multiple deficiencies related to staff CPR training, background checks, controlled substances screening, and competency validation for tasks performed by staff. These issues involved a staff member working alone without current CPR certification and missing required screenings and validations.
    • Unabated Type B13F.0507TRAINING ON CARDIO-PULMONARY RESUSCITATION
    • Standard Deficiency13F.0407(a)(5)OTHER STAFF QUALIFICATIONS
    • Standard DeficiencyG.S.131D-40Criminal history record checks required for certain applicants for employment
    • Standard DeficiencyG.S.131D-45Examination and screening for the presence of controlled substances required for applicants for employment in adult care homes
    • Standard Deficiency13F.0504COMPETENCY VALIDATION FOR LICENSED HEALTH PROFESSIONAL SUPPORT TASKS
    17 Sept 2024Construction
    Investigated a report about floor condition and found several areas with soft or damaged floors not kept in good repair.
    • 10A NCAC 13F .0305PHYSICAL ENVIRONMENT - Floors-Non-skid, in Good Repair
    17 Sept 2024Construction
    Found floors not in good repair, with soft spots and damaged sections in multiple areas.
    • 10A NCAC 13F .0305PHYSICAL ENVIRONMENT
    22 Feb 2024Monitoring
    Investigated a medication administration issue and found errors in warfarin dosing and gaps in communication and follow-up.
    • Type A13F.1004(a)MEDICATION ADMINISTRATION
    22 Feb 2024Monitoring
    Found that a resident's warfarin doses were not administered as ordered, risking dangerous bleeding or stroke due to inconsistent dosing and documentation.
    • Type AAn adult care home shall assure that the preparation and administration of medications, prescription and non-prescription, and treatments by staff are in accordance with: (1) orders by a licensed prescribing practitioner which are maintained in the resident's record; and (2) rules in this Section and the facility's policies and procedures.Medication Administration
    28 Nov 2023Follow-Up
    Investigated medication administration and found ongoing failures to follow orders, with missing eMAR entries and inadequate monitoring.
    • 10A NCAC 13F .1004(a)Medication Administration
    28 Nov 2023Follow-Up
    Investigated multiple deficiencies in medication administration and resident monitoring. Found major gaps in documenting heart rates, medication changes, and MAR entries.
    • Medication administration documentation and monitoring deficiencies
    07 Nov 2023Follow-Up
    Investigated medication administration lapses for a resident, including missed doses of atorvastatin and vitamin D3. Found gaps in refills and supply to ensure administration as ordered.
    • Type A10A NCAC 13F .1004(a)Medication Administration
    07 Nov 2023Follow-Up
    Investigated a medication administration complaint and found discrepancies in a resident’s atorvastatin and vitamin D3 meds, including dosing and documentation gaps.
    • Type A10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    15 Sept 2023Follow-Up
    An investigation found deficiencies in medication administration training and competency for staff, as well as gaps in documentation and coverage related to diabetes care and medication administration.
    • Type B10A NCAC 13F .0503 Medication Administration CompetencyMedication administration competency
    • Type B10A NCAC 13F .0503 Medication Administration CompetencyMedication administration competency
    • Type B
    • Type B
    15 Sept 2023Follow-Up
    Investigated deficiencies related to medication administration, diabetic care training, staffing, and controlled substances. Violations were cited for competency, training, staffing, health care practices, and drug diversion issues.
    • Type B10A NCAC 13F .0503 Medication Administration CompetencyMedication Administration Competency
    • Type B10A NCAC 13F .0505 Training On Care Of Diabetic ResidentsTraining On Care Of Diabetic Residents
    • Type B10A NCAC 13F .0604 Personal Care And Other StaffingPersonal Care And Other Staffing
    • Type B10A NCAC 13F .0902 Health Care (b)Health Care
    • Type B10A NCAC 13F .1002 Medication OrdersMedication Orders
    • Type A10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    • Type B10A NCAC 13F .1008 (h) Controlled SubstancesControlled Substances
    • Type BDrug Diversion Reporting
    31 Aug 2023Follow-Up
    Observed multiple deficiencies related to staff training for medication administration, inadequate health care documentation and follow-up, and nutrition/food service processes during the survey.
    • Type A10A NCAC 13F .0403(a)Qualifications Of Medication Staff
    • Type A10A NCAC 13F .0902(b)Health Care
    • Type A10A NCAC 13F .0902(c)(3-4)Health Care
    • Type A10A NCAC 13F .0904(d)(4)Nutrition and Food Service
    31 Aug 2023Follow-Up
    Investigated multiple deficiencies related to medication staff training, health care referrals, accurate medication administration, hydration, activities, and incident reporting during an August 2023 investigation.
    • 10A NCAC 13F .0403(a) Qualifications Of Medication StaffQualifications Of Medication Staff
    • 10A NCAC 13F .0902(b) Health CareHealth Care
    • 10A NCAC 13F .0902(c)(3-4) Health CareHealth Care
    • 10A NCAC 13F .0904(d)(4) Nutrition and Food ServiceWater service at meals
    • 10A NCAC 13F .0905(a)-(b) Activities ProgramActivities Program
    • 10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    • 10A NCAC 13F .1004(i) Medication AdministrationMedication Administration - Documentation/Before administration
    • 10A NCAC 13F .1212(a) Reporting of Accidents and IncidentsReporting of Accidents and Incidents
    • 10A NCAC 13F .1005(a) Self-Administration Of MedicationsSelf-Administration Of Medications
    08 Aug 2023Inspection
    Identified multiple deficiencies, including failure to test an admitted resident for TB, missing resident registers and care plans, delays in therapy referrals, and an activity program not posted or accessible to residents.
    • Type B10A NCAC 13F .0703(a)Tuberculosis Test, Medical Examination & Immunizations
    • 10A NCAC 13F .0704(b)Resident Contract, Information On Home And Resident Register
    • 10A NCAC 13F .0802(a)Resident Care Plan
    • Type B10A NCAC 13F .0902(b)Health Care
    • Type A10A NCAC 13F .0905 (a & b)Activities Program
    • 10A NCAC 13F .0905 (c)Activities Program
    08 Aug 2023Inspection
    Investigated multiple deficiencies related to TB testing, resident documentation, care planning, health referrals, and activities.
    • Type B10A NCAC 13F .0703(a)Tuberculosis Test, Medical Examination & Immunizations
    • 10A NCAC 13F .0704(b)Resident Contract, Information On Home And Resident Register
    • 10A NCAC 13F .0802(a)Resident Care Plan
    • 10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .0905(a) and/or .0905Activities Program
    • 10A NCAC 13F .0905 (c)Activities Program
    06 Oct 2022Follow-Up
    The regulator found multiple deficiencies related to staff qualifications, health care referrals, and medication administration and record-keeping, including missing staff screenings, improper medication handling, and incomplete documentation during leave of absence.
    • 10A NCAC 13F .0407(a)(5)Other Staff Qualifications
    • 10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .1004Medication Administration
    • 10 NCAC 13F .1004 (j)Medication Administration - Observation
    • 10 NCAC 13F .1004 (i)Medication Administration - MAR Accuracy
    • G.S. 131D-4.5B(b)Medication Aides; Training and Competency
    • 10A NCAC 13F .1010(d)-(e)Leave of Absence - Pharmaceutical Services
    06 Oct 2022Follow-Up
    Identified deficiencies in medication management and related communication, including issues with medication availability, documentation, and notifying the PCP.
    • Observation of medications and related administration
    • HCPR documentation
    • Notification and related medication issues
    24 Aug 2022Follow-Up
    Investigated medication administration issues; found failures to observe residents taking meds and to secure meds, including a resident who held doses and attempted self-harm and another with medications left at the bedside.
    • Type B10A NCAC 13F .1004 (i)Medication Administration
    • G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    24 Aug 2022Follow-Up
    Investigated for medication administration issues and rights protections, finding deficiencies in monitoring and documenting resident medications and concerns about residents' safety.
    • Type BMedication administration observation
    • G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    15 Jun 2022Follow-Up
    Identified deficiencies related to medication administration, documentation, and residents' rights, with multiple open items requiring remediation and follow-up.
    • Type AG.S. 131D-21 (4)Declaration of Residents' Rights
    • Type AG.S. 131D-21 (4)Residents' Rights/Medication Administration
    • Type AG.S. 131D-21 (4)Declaration of Residents' Rights
    15 Jun 2022Follow-Up
    Investigated medication administration and leave records; found failures to provide a prescribed schizophrenia drug and to maintain accurate MAR and leave-of-absence documentation.
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1004(j)Medication Administration
    • G.S. 131D-21(4) Declaration of Residents' RightsDeclaration of Residents' Rights
    • 10A NCAC 13F .1010Pharmaceutical Services
    14 Jun 2022Follow-Up
    Identified failures in administering medications as ordered for two residents, risking worsened psychiatric symptoms and poor diabetes control.
    • Type B10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    • Type BG.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    14 Jun 2022Follow-Up
    Investigated medication-management issues, revealing stockouts and documentation gaps related to residents' prescribed medicines.
    • Type BG.S. 131D-21(2)Declaration of Residents' Rights
    01 Jun 2022Follow-Up
    Investigated a follow-up found missing HCPR background checks for staff at hire and related documentation gaps.
    • Initial Comments
    • 10A NCAC 13F.0407(a)(5)Other Staff Qualifications
    • 10A NCAC 13F.0407Other Staff Qualifications
    01 Jun 2022Follow-Up
    Investigated a complaint and found deficiencies in staff qualifications, training documentation, medication administration, and timely refunds after discharge.
    • Type A10A NCAC 13F .0407(a)(5)Other Staff Qualifications
    • Type A10A NCAC 13F .0501Personal Care Training And Competency
    • Type B10A NCAC 13F .1004(a)Medication Administration
    • Type A10A NCAC 13F .1106Settlement Of Cost Of Care
    05 Apr 2022Follow-Up
    Investigated revealed multiple deficiencies in personal care, health care, and medication management, including delayed emergency response, missing lab work and medication refills, improper medication administration, and inadequate staff supervision/training.
    • Type A10A NCAC 13F .0901(c) Personal Care and SupervisionPersonal Care and Supervision
    • Type B10A NCAC 13F .0902(b) Health CareHealth Care
    • Type A10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    • Type A10A NCAC 13F .1004(g) Medication AdministrationMedication Administration
    • G.S. 131D-21(4) Declaration of Residents' RightsDeclaration of Residents' Rights
    • Type AG.S. 131D-4.5B(b) ACH Medication Aides; Training and CompetencyMedication Aide Training and Competency
    05 Apr 2022Follow-Up
    Investigated deficiencies in medication management and documentation, including missed doses of a critical antipsychotic and gaps in lab work and administration records.
    • G.S. 131D-34Continued From page 2
    • G.S. 131D-34Continued From page 10
    • G.S. 131D-34Continued From page 24
    • G.S. 131D-34Continued From page 25
    01 Apr 2022Follow-Up
    The facility was found to have serious lapses in health care referrals, medication administration, and incident reporting that could endanger residents.
    • A110A NCAC 13F .0902(b)Health Care
    • A210A NCAC 13F .1004(a)Medication Administration
    • B10A NCAC 13F .1004(g)Medication Administration
    • 10A NCAC 13F .1008(a)Controlled Substances
    • 10A NCAC 13F .1212(a)Reporting of Accidents and Incidents
    • G.S. 131D-21(2)Declaration of Residents' Rights
    • G.S. 131D-21(4)Declaration of Residents' Rights
    01 Apr 2022Follow-Up
    Investigated a complaint and found deficiencies in health care referral/follow-up, medication administration, controlled substances records, incident reporting, and residents' rights.
    • Type A10A NCAC 13F .0902(b)Health Care
    • Type A10A NCAC 13F .1004(a)Medication Administration
    • Type B10A NCAC 13F .1004(g)Medication Administration
    • Type A10A NCAC 13F .1008(a)Controlled Substances
    • Type A10A NCAC 13F .1212(a)Reporting of Accidents and Incidents
    • Type AG.S. 131D-21(2)Declaration of Residents' Rights
    • Type AG.S. 131D-21(4)Declaration of Residents' Rights
    31 Mar 2022Follow-Up
    Found deficiencies in emergency response to incidents, activities programming, and medication administration timing.
    • 10A NCAC 13F .0901(c) Personal Care and SupervisionPersonal Care and Supervision
    • 10A NCAC 13F .0905 (d) Activities ProgramActivities Program
    • 10A NCAC 13F .0905 (e) Activities ProgramActivities Program
    • 10A NCAC 13F .1004(g) Medication AdministrationMedication Administration
    22 Feb 2022Follow-Up
    Found deficiencies in menu substitutions, COVID-19 screening procedures, and residents' rights protections.
    • 10A NCAC 13F .0904(c)(3)Nutrition and Food Service
    • 10A NCAC 13F .1801 (c)Infection Prevention & Control Program
    • G.S. 131D-21(2) Declaration of Residents' RightsResidents' Rights
    22 Feb 2022Follow-Up
    Identified deficiencies related to infection prevention, meal substitutions, and residents' rights during the evaluation.
    • 10A NCAC 13F .0904 (c)(3) Nutrition And Food ServiceNutrition and Food Service
    • 10A NCAC 13F .1801 Infection Prevention & Control Program (temp)Infection Prevention & Control
    • G.S. 131D-21(2) Declaration of Residents' RightsResidents' Rights
    26 Jan 2022Follow-Up
    Identified non-compliance with medication administration; insulin for one resident was not given as ordered, due to delays with pharmacy refills and communication gaps.
    • Type B10A NCAC 13F .1004(a)Medication Administration
    26 Jan 2022Follow-Up
    Investigated insulin management and found deficiencies in administration and documentation that could have put a resident at risk for hyperglycemia.
    • Administration and documentation of insulin
    08 Dec 2021Follow-Up
    Identified multiple deficiencies in medication management, infection control, and residents' rights, with ongoing issues from a prior violation.
    • Type B10A NCAC 13F .1004(a)Medication Administration
    • G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights / Medication oversight
    • G.S. 131D-34 Infection Prevention RequirementsInfection prevention / FSBS device handling
    08 Dec 2021Follow-Up
    Found deficiencies in medication administration and infection prevention. Glucometers were shared between residents and several diabetes medications were not administered as ordered, creating health risks.
    • Type B10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    • Type BG.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    • Type BG.S. 131D-4.4A (b) Adult Care Home Infection Prevention RequirementsInfection Prevention Requirements
    13 Oct 2021Follow-Up
    Investigated and identified deficiencies in nutrition substitutions, medication administration, and infection control during the COVID-19 outbreak.
    • 10A NCAC 13F .0904(c)(3)Nutrition and Food Service - Substitutions must be of equal nutritional value
    • 10A NCAC 13F .1004(a)Medication Administration
    • Type B10A NCAC 13F .1801(c)Infection Prevention & Control Program
    08 Oct 2021Follow-Up
    Identified deficiencies in medication management and infection control, including inconsistent anticoagulant administration, incomplete medication records, and gaps in infection-prevention practices.
    • 10A NCAC 13F-1004(a)Medication Administration
    • G.S. 131D-21(2)Declaration of Residents' Rights
    • 10A NCAC 13F-1006(a)Controlled Substances
    08 Oct 2021Follow-Up
    Investigated deficiencies found in medication administration, controlled-substance records, resident rights, and infection prevention due to incomplete medication practices, missing records, and sharing of glucose meters.
    • Type B10A NCAC 13F .1004(a)Medication Administration
    • Type B10A NCAC 13F .1008Controlled Substances
    • Type BG.S. 131D-21(2)Declaration of Residents' Rights
    • Type BG.S. 131D-4.4A(b)Infection Prevention Requirements
    25 Aug 2021Follow-Up
    Investigated a follow-up survey identified multiple deficiencies in health care delivery, medication administration, infection control, and residents' rights.
    • Type B10A NCAC 13F .0902(b)Health Care
    • Type B10A NCAC 13F .0902(c)(3-4)Health Care
    • Type B10A NCAC 13F .1004(a)Medication Administration
    • Type BG.S.131D-4.4A(b)Infection Prevention Requirements
    • G.S.131D-21(2)Declaration of Residents' Rights
    25 Aug 2021Follow-Up
    Follow-up identified multiple deficiencies including missed antibiotic doses, incomplete vital signs monitoring, and improper infection-control practices related to glucose testing equipment.
    • Type B10A NCAC 13F .0902(b) Health CareHealth Care
    • Type B10A NCAC 13F .0902(c)(3-4) Health CareHealth Care
    • Type B10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    • Type BG.S. 131D-4.4A(b) Infection Prevention RequirementsInfection Prevention
    18 Aug 2021Follow-Up
    Identified a deficiency in CPR training where at least one staff member lacked approved CPR training on site; an online CPR certificate from an unapproved provider was used. The deficiency was not abated during the follow-up visit.
    • Type B10A NCAC 13F .0507Training On Cardio-Pulmonary Resuscitation
    11 Aug 2021Follow-Up
    Investigated a complaint about medication administration and oxygen management; found missing documentation and lapses in ensuring ordered medications and oxygen therapy were provided.
    • 10A NCAC 13F .1004(j) Medication AdministrationMedication Administration
    11 Aug 2021Follow-Up
    Identified failures to keep prescribed rescue medications on hand and to maintain accurate medication administration records.
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1004(j)Medication Administration
    02 Jun 2021Follow-Up
    Investigated a range of deficiencies across CPR training, facility management, resident care planning, health care, nutrition, medication administration, infection control, and record keeping. Notable lapses included CPR training gaps, inadequate supervision, missing or outdated care plans, and poor infection control during the COVID-19 period.
    • Type B10A NCAC 13F .0507 Training On Cardio-Pulmonary ResuscitationTraining On Cardio-Pulmonary Resuscitation
    • Type A10A NCAC 13F .0601 (a) Management of Facilities with a Capacity or Census of Seven to Thirty ResidentsManagement Of Facilities (a)
    • Type A10A NCAC 13F .0601 (b) Management Of Facilities With A Capacity Or Census Of Seven To Thirty ResidentsManagement Of Facilities (b)
    • Type B10A NCAC 13F .0802(a) Resident Care PlanResident Care Plan
    • Type B10A NCAC 13F .0902(c)(3-4) Health CareHealth Care
    • Type B10A NCAC 13F .0904(c)(3) Nutrition And Food ServiceNutrition And Food Service
    • Type B10A NCAC 13F .0904(e)(4) Nutrition and Food ServiceTherapeutic Diets in Adult Care Homes
    • Type B10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    • Type B10A NCAC 13F .1009 Pharmaceutical CarePharmaceutical Care
    • Type B10A NCAC 13F .1801 Infection Prevention and Control ProgramInfection Prevention and Control Program
    • Type BG.S. 131D-21(4) Declaration of Residents' RightsDeclaration of Residents' Rights
    02 Jun 2021Inspection
    Identified extensive deficiencies across TB testing, staff qualifications and training, medication administration, resident care, infection prevention, and resident records during an annual licensing survey.
    • 10A NCAC 13F .0406(a)Test For Tuberculosis
    • 10A NCAC 13F .0407(a)(5)Other Staff Qualifications
    • 10A NCAC 13F .0501Personal Care Training And Competency
    • Type B10A NCAC 13F .0504Competency Validation For LHPS Tasks
    • Type B10A NCAC 13F .0507Training On Cardio-Pulmonary Resuscitation
    • Type A10A NCAC 13F .0601(a)/(b)Management Of Facilities With A Capacity or Census Of Seven To Thirty Residents
    • Type B10A NCAC 13F .0601(b)(3)Management Of Facilities With A Capacity Or Census Of Seven To Thirty Residents
    • Type B10A NCAC 13F .0703(a)Tuberculosis Test, Medical Exam & Immunizations
    • 10A NCAC 13F .0802Resident Care Plan
    • Type B10A NCAC 13F .0902Health Care
    • Type A10A NCAC 13F .0909Resident Rights
    • Type B10A NCAC 13F .1004(a)Medication Administration
    • Type B10A NCAC 13F .1004(i)Medication Administration
    • 10A NCAC 13F .1006(b)Medication Storage
    • 10A NCAC 13F .1201(a)Resident Records
    • Type B10A NCAC 13F .1801(c)Infection Prevention & Control Program
    • G.S. 131D-21(2)Declaration of Residents' Rights
    • G.S. 131D-21(4)Declaration of Residents' Rights
    • G.S. 131D-4.5B(b)ACH Medication Aides; Training and Competency
    02 Jun 2021Inspection
    Multiple deficiencies were found across TB testing, staff qualifications, training, care planning, medication administration, infection control, and resident records, including cases of neglect such as a resident eloping and residents left unsupervised.
    • Type A10A NCAC 13F .0406(a) Test For TuberculosisTest For Tuberculosis
    • Type A10A NCAC 13F .0407(a)(5) Other Staff QualificationsOther Staff Qualifications
    • Type A10A NCAC 13F .0501 Personal Care Training And CompetencyPersonal Care Training And Competency
    • Type A10A NCAC 13F .0504 Competency Validation For LHPS TasksCompetency Validation For LHPS Tasks
    • Type A10A NCAC 13F .0507 Training On Cardio-Pulmonary ResuscitationTraining On Cardio-Pulmonary Resuscitation
    • Type A10A NCAC 13F .0601 (a) Management Of Facilities With A Capacity Or Census Of Seven To Thirty ResidentsManagement Of Facilities With A Capacity Or Census Of Seven To Thirty Residents
    • Type B10A NCAC 13F .0601 (b) Management Of Facilities With A Capacity Or Census Of Seven To Thirty ResidentsManagement Of Facilities With A Capacity Or Census Of Seven To Thirty Residents
    • Type B10A NCAC 13F .0703(a) Tuberculosis Test, Medical Exam & ImmunizationsTuberculosis Test, Medical Examination & Immunizations
    • Type B10A NCAC 13F .0802(a) Resident Care PlanResident Care Plan
    • Type B10A NCAC 13F .0902(b) Health CareHealth Care
    • Type A10A NCAC 13F .0909 Resident RightsResident Rights
    • Type B10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    • Type B10A NCAC 13F .1004(i) Medication AdministrationMedication Administration
    • Type B10A NCAC 13F .1006(b) Medication StorageMedication Storage
    • Type B10A NCAC 13F .1201(a) Resident RecordsResident Records
    • Type B10A NCAC 13F .1801(c) Infection Prevention & Control ProgramInfection Prevention & Control Program
    • Type AG.S. 131D-21(4) Declaration of Residents' RightsDeclaration of Residents' Rights
    • Type BG.S. 131D-4.5B(b) ACH Medication Aides; Training and Competency Evaluation RequirementsMedication Aide Training and Competency
    02 Jun 2021Follow-Up
    Investigated alleged neglect and systemic noncompliance; multiple deficiencies found across CPR training, care planning, health care, nutrition, medication administration, records, infection control, and residents' rights.
    • Type B10A NCAC 13F .0507 Training On Cardio-Pulmonary ResuscitationTraining On Cardio-Pulmonary Resuscitation
    • Type A10A NCAC 13F .0601 (a) Management of FacilitiesManagement of Facilities
    • Type A10A NCAC 13F .0601 (b) Management Of Facilities With A Capacity Or Census Of Seven To Thirty ResidentsManagement Of Facilities
    • Type B10A NCAC 13F .0802(a) Resident Care PlanResident Care Plan
    • Type B10A NCAC 13F .0902 (c)(3-4) Health CareHealth Care
    • Type B10A NCAC 13F .0904(c)(3) Nutrition And Food ServiceNutrition And Food Service
    • Type B10A NCAC 13F .0904(e)(4) Nutrition and Food ServiceTherapeutic Diets in Adult Care Homes
    • Type B10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    • Type B10A NCAC 13F .1009(b) Pharmaceutical CarePharmaceutical Care
    • Type A10A NCAC 13F .1201(a) Resident RecordsResident Records
    • Type B10A NCAC 13F .1801 (c) Infection Prevention and Control ProgramInfection Prevention and Control Program
    • Type AG.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    • Type AG.S. 131D-21(4) Declaration of Residents' RightsDeclaration of Residents' Rights
    01 Jun 2021Inspection
    Identified multiple deficiencies after an annual review, including broken telephone service, lack of CPR training, weak management oversight, incomplete resident assessments, no activities program, elopement response failures, and medication administration concerns.
    • 10A NCAC 13F .0306(a)(12)Housekeeping And Furnishings
    • Type B10A NCAC 13F .0507Training On Cardio-Pulmonary Resuscitation
    • Type A10A NCAC 13F .0601Management Of Facilities With a Capacity or Census of Seven to Thirty Residents
    • 10A NCAC 13F .0801Resident Assessment
    • 10A NCAC 13F .0905Activities Program
    • Type A10A NCAC 13F .0909Resident Rights
    • 10A NCAC 13F .1004(j)Medication Administration
    • 10A NCAC 13F .1005Self-Administration Of Medications
    • 10A NCAC 13F .1008(a)Controlled Substances
    • G.S. 131D-21(2)Declaration Of Residents' Rights
    • G.S. 131D-21(4)Declaration Of Residents' Rights
    01 Jun 2021Inspection
    Investigated Findings identified multiple deficiencies, including an inoperable telephone system, lack of CPR training for staff, poor facility management, missing resident records and elopement procedures, absent activity programming, and medication- and safety-related recordkeeping problems.
    • 10A NCAC 13F .0306(a)(12)Housekeeping And Furnishings
    • Type B10A NCAC 13F .0507Training On Cardio-Pulmonary Resuscitation
    • Type A10A NCAC 13F .0601Management Of Facilities
    • 10A NCAC 13F .0801Resident Assessment
    • 10A NCAC 13F .0905Activities Program
    • Type A10A NCAC 13F .0909Resident Rights
    • 10A NCAC 13F .1004(j)Medication Administration
    • 10A NCAC 13F .1005Self-Administration Of Medications
    • 10A NCAC 13F .1008(a)Controlled Substances
    • G.S. 131D-21(2)Declaration of Residents' Rights
    • G.S. 131D-21(4)Declaration of Residents' Rights
    01 Jun 2021Inspection
    Found deficiencies in TB testing, LHPS competency, staffing supervision, infection prevention, medication administration, and residents' rights.
    • Type A10A NCAC 13F .0406(a)Test For Tuberculosis
    • Type A10A NCAC 13F .0504(a)Competency Validation For Licensed Health Professional Support Tasks
    • Type A10A NCAC 13F .0601(a)Management Of Facilities
    • Type A10A NCAC 13F .0601(b)Management Of Facilities With a Capacity Or Census Of Seven To Thirty Residents
    • Type A10A NCAC 13F .1801 (c)Infection Prevention & Control Program
    • Type AG.S.131D-21(4)Declaration of Residents' Rights
    • Type AG.S.131D-4.5B(b)ACH Medication Aides; Training and Competency
    • Type A10A NCAC 13F .1004(j)Medication Administration
    01 Jun 2021Inspection
    Investigation identified deficiencies in CPR training, resident supervision, medication management, and missing documentation, with several residents affected by care and oversight gaps.
    • Type BTelephone access and system reliability
    • Type B10A NCAC 13F .0507Training on Cardiopulmonary Resuscitation
    • Type ACo-administrator responsibilities
    • Type BMissing Resident Procedures and Guardian Communication
    • Type AResident Medication Management
    • Type B10A NCAC 13F .1005(a)Self-Administration of Medications
    • Type B10A NCAC 13F .0905Controlled Substances
    01 Jun 2021Inspection
    Identified multiple deficiencies in safety, operations, activities, and medication management, including an elopement, inadequate CPR training, and inaccurate medication records.
    • Type B10A NCAC 13F .0306(a)(12)Housekeeping And Furnishings
    • Type B10A NCAC 13F .0507Training On Cardio-Pulmonary Resuscitation
    • Type A10A NCAC 13F .0601Management Of Facilities With a Capacity or Census of Seven to Thirty Residents
    • Type A10A NCAC 13F .0801Resident Assessment
    • Type A10A NCAC 13F .0905Activities Program
    • Type A10A NCAC 13F .0909Resident Rights
    • Type A10A NCAC 13F .1004(j)Medication Administration
    • Type A10A NCAC 13F .1005(a)Self-Administration Of Medications
    • Type A10A NCAC 13F .1008(a)Controlled Substances
    • Type AG.S. 131D-21(2)Declaration of Residents' Rights
    • Type AG.S. 131D-21(4)Declaration of Residents' Rights
    01 Jun 2021Inspection
    Identified multiple deficiencies in TB testing, staff competency, medication administration, infection control, and resident safety, including periods when residents were left unsupervised.
    • Type A10A NCAC 13F .0406(a)Test For Tuberculosis
    • Type A10A NCAC 13F .0504(a)Competency Validation For Licensed Health Professional Support Tasks
    • Type A10A NCAC 13F .0601(a)Management Of Facilities
    • Type A10A NCAC 13F .0601(b)Management Of Facilities With A Capacity Or Census Of Seven To Thirty Residents
    • Type A10A NCAC 13F .1801 (c)Infection Prevention & Control Program
    • Type AG.S. 131D-21(4)Declaration of Residents' Rights
    • Type AG.S. § 131D-4.5B(b)ACH Medication Aides; Training and Competency
    • Type A10A NCAC 13F .1004(j)Medication Administration
    01 Jun 2021Inspection
    The investigation found failures in medication administration, staff documentation, and care coordination, with multiple pages detailing ongoing deficiencies and unvalidated practices. Several instances showed staff were administering meds without proper orders and lacking adequate records.
    • Assistance with activities of daily living and related documentation
    • Administrator and documentation oversight
    • Medication administration/FSBS training and records
    • Scheduling and cross-building medication administration
    • Proper medication orders and documentation
    06 Dec 2019Inspection
    Identified multiple deficiencies in competency validation, medication administration, nutrition, activities, and residents’ rights. Observed unsafe practices, lack of building-specific training, and inadequate oversight of medications and resident engagement.
    • 10A NCAC 13F .0504(a)Competency Validation For LHPS Tasks
    • 10A NCAC 13F .0904(b)(1)Nutrition and Food Service
    • 10A NCAC 13F .0905Activities Program
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1005(a)Self-Administration Of Medications
    • G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    • G.S. 131D-4.5B(b) ACH Medication Aides; Training and CompetencyACH Medication Aides; Training and Competency
    06 Dec 2019Inspection
    Identified deficiencies in LHPS competency validation, nutrition and food service, and the activities program.
    • 10A NCAC 13F .0504(a)Competency Validation For LHPS Tasks
    • 10A NCAC 13F .0904(b)(1)Nutrition and Food Service
    • 10A NCAC 13F .0905(a)(b)Activities Program
    23 Sept 2019Complaint
    Investigated a complaint about medication management and safety, and found multiple deficiencies in administration, self-administration, recordkeeping, and controlled substances handling.
    • 10A NCAC 13G .1004 Medication AdministrationMedication Administration
    • 10A NCAC 13G .1004 (f) Medication AdministrationMedication Administration - Advanced Preparation
    • 10A NCAC 13G .1004 (i) Medication AdministrationMedication Administration - Documentation
    • 10A NCAC 13G .1005 (a) Self-Administration Of MedicationsSelf-Administration Of Medications
    • Type B10A NCAC 13G .1008(a) Controlled SubstancesControlled Substances
    • 10A NCAC 13G .1206 Health Care Personnel RegistryHealth Care Personnel Registry
    • G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    01 Aug 2018Complaint
    Investigated an allegation of abuse by a nurse aide; found verbal abuse toward residents and actions taken by management including removal of the aide, with an implication of not reporting to the appropriate registry.
    • 10 NCAC 13F .1205Health Care Personnel Registry
    13 Mar 2018Construction
    Found safety and maintenance deficiencies in building and hot water systems, including doors that won’t latch, unsealed fire-rated ceiling penetrations, a broken shower head, and low hot water temperature.
    • 10A NCAC 13F .0311PHYSICAL PLANT - Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311PHYSICAL PLANT - Hot Water System
    13 Mar 2018Construction
    Found deficiencies in fire safety and hot water temperature: unsealed penetrations in a one-hour fire rated ceiling and a hot water temperature of 90°F in the men's bathroom.
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311 (d)Hot Water System
    13 Mar 2018Construction
    Identified fire-safety and electrical deficiencies related to walls, doors, and a GFCI outlet. Findings included holes in walls, unsealed penetrations, misfitting doors, and no power at a GFCI receptacle.
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    13 Mar 2018Construction
    Identified several deficiencies related to fire safety and utilities, including a compromised fire-rated ceiling, unsealed penetrations, a shower not maintained in operating condition, a door that would not latch, and low hot water temperatures.
    • Fire safety and plumbing deficiencies
    13 Mar 2018Construction
    Investigated a maintenance issue that found a non-operational electrical outlet and no power at a GFCI receptacle in a bathroom.
    • 10A NCAC 13F.0311OTHER REQUIREMENTS
    13 Mar 2018Construction
    Found hot water temperatures below the required minimum, with 90°F observed in the men's bathroom.
    • Type A10A NCAC 13F .0311Hot Water System
    13 Mar 2018Construction
    Found deficiencies in fire-rated ceiling integrity and electrical maintenance, including an unsealed wire penetration and a non-working GFCI outlet.
    • 10A NCAC 13F .0311Other Requirements
    13 Mar 2018Construction
    Found deficiencies in safety and electrical maintenance, including holes in door locks, doors not sealing properly, and an inoperable GFCI outlet.
    • Type A10A NCAC 13F.0311Other Requirements
    • Type B10A NCAC 13F.0311Other Requirements
    • c10A NCAC 13F.0311Other Requirements
    • d10A NCAC 13F.0311Other Requirements
    • 10A NCAC 13F.0311Other Requirements
    13 Mar 2018Construction
    Found unsealed penetrations in a one-hour fire-rated ceiling and hot water temperature below the required range.
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Hot Water System
    13 Mar 2018Construction
    Investigated a biennial survey of a senior living operation and found no deficiencies cited. Temperature logs indicated hot-water temperatures met the required range.
    15 Feb 2018Inspection
    Investigated deficiencies in personal care, health care follow-up, medication administration, and residents' rights, including inadequate showers and nail care, missing podiatry/primary care follow-ups, and a delayed Klonopin refill.
    • 10A NCAC 13F .0901(a)Personal Care and Supervision
    • Type B10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .1004(a)Medication Administration
    • G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    15 Feb 2018Inspection
    Found no deficiencies.
    08 Apr 2016Construction
    Identified safety deficiencies due to unmaintained building systems and hazards, including holes in the med closet ceiling and removed items creating risks.
    • 10A NCAC 13F.0311Other Requirements
    • 104 NCAC 13F.0306Physical Plant – Safety/Requirements
    08 Apr 2016Construction
    Found multiple safety and fire-protection deficiencies, including exit signs lacking battery backup, a nonfunctional emergency light, and unsealed openings in one-hour fire-rated construction.
    • 10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
    • 10A NCAC 13F .0311OTHER REQUIREMENTS
    • 10A NCAC 13F .0311OTHER REQUIREMENTS
    • 10A NCAC 13F .0311OTHER REQUIREMENTS
    08 Apr 2016Construction
    Found hazards and code violations related to housekeeping and building safety. Exposed fan blades, obstructed exit paths, and holes in a fire-rated ceiling were observed.
    • 10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
    • 10A NCAC 13F .0311Other Requirements
    08 Apr 2016Construction
    Found hazards from unsafe storage of portable oxygen and several safety-related failures affecting building maintenance. Cylinders were stored in an unapproved beverage crate, emergency lights failed, a fire-rated ceiling was compromised, and laundry exhaust did not operate.
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0311Other Requirements
    08 Apr 2016Construction
    Identified hazards due to an obstructed exterior exit path and a nonfunctional battery-powered emergency light.
    • 10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
    • 10A NCAC 13F .0311BUILDING EQUIPMENT MAINTAINED SAFE, OPERATING
    08 Apr 2016Construction
    Identified safety and physical-plant deficiencies, including a non-working emergency light and unsealed fire-rated openings, while exit signs were updated to battery-backup lights.
    • 10A NCAC 13F.0306Exit signs battery backup
    • 10A NCAC 13F.0311Other requirements
    08 Apr 2016Construction
    Identified deficiencies in the building's physical plant, including a nonfunctional emergency light in the med closet and holes in the med closet ceiling; noted replacement of an exhaust fan in the laundry room.
    • 10A NCAC 13F .0311Housekeeping-Maintained Free of Hazards
    • 10A NCAC 13F .0311Housekeeping-Maintained Free of Hazards
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    08 Apr 2016Construction
    Identified safety deficiencies related to emergency lighting, wanderer alarm, fire-rated construction integrity, and exhaust ventilation. Holes and penetrations compromised fire-rated walls and ceilings.
    • 10A NCAC 13F .0311PHYSICAL PLANT - Other Requirements
    • 10A NCAC 13F .0311PHYSICAL PLANT - Other Requirements
    • 10A NCAC 13F .0311PHYSICAL PLANT - Other Requirements
    • 10A NCAC 13F .0311PHYSICAL PLANT - Other Requirements
    08 Apr 2016Construction
    Found deficiencies related to housekeeping/furnishings and emergency lighting.
    • 10A NCAC 13F.0306Housekeeping and Furnishings
    • 10A NCAC 13F.0311Emergency Lighting
    08 Apr 2016Construction
    Identified fire-safety and safety-hardware deficiencies with several corrective actions completed or ongoing.
    • C 189Initial Comments
    11 Feb 2015Inspection
    Investigated deficiencies in housekeeping, medication administration, and controlled substances. Found extensive cleaning issues across several areas and multiple inaccuracies in medication documentation and controlled substance reconciliation.
    • 10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
    • 10A NCAC 13F .1004(j)Medication Administration
    • 10A NCAC 13F .1008(a)Controlled Substances
    12 Dec 2014Inspection
    Investigators found deficiencies in meal service and pain management, noting that knives were not provided with meals and that residents did not consistently receive pain medication as prescribed.
    • 10A NCAC 13F .0904(b)(2)Table service and meal setting
    • Type B10A NCAC 13F .0909Resident Rights – timely pain management
    12 Dec 2014Inspection
    Found deficiencies in meal service lacking knives for residents and in pain management and resident rights protections.
    • 10A NCAC 13F .0904(b)(2) Nutrition And Food ServiceNutrition And Food Service
    • 10A NCAC 13F .0909 Resident RightsResident Rights
    • Type BG.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights

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