I moved my mom here and have been very pleased - it's a small, family-like community with attentive, caring staff who go above and beyond (arranging medical/dental appointments and quick to respond). The place feels welcoming and homey, is clean with lovely gardens and a koi pond, good food and plenty of activities and outings, and the move-in was smooth. Excellent value compared with pricier options; I'd recommend it for a loved one.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
Schedule a Tour
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
3.03·(30)
Overall rating
5
4
3
2
1
Care
2.7
Staff
3.1
Meals
3.0
Amenities
3.0
Value
3.0
Pros
Welcoming admissions and tour process
Helpful and supportive move-in assistance
Clean, attractive facility appearance
Palatable meal options
Varied activities programming offered
Perceived good value for cost
Informative tour staff
Cons
Medication-administration inconsistencies
Inadequate clinical staffing and training
Inconsistent activity engagement
Inconsistent meal quality and limited menu options
Gaps in resident safety supervision
Poor leadership responsiveness and accountability
Weak family communication and incident reporting
Staff recruitment and screening deficiencies
Financial-management concerns, including alleged misuse of benefits
Summary of reviews
Reviews for Shuler Health Care Villas are mixed, with a clear split between families who describe a positive, well-presented community and those who raise substantive operational concerns. Positive remarks focus on the admissions/tour experience, helpful move-in staff, a clean and attractive physical environment, and perceived value. At the same time, a number of families identified patterns that could affect care and confidence in the provider.
Care quality and clinical operations present the sharpest contrast. Several accounts raise concerns about medication-administration practices and delays in responding to resident needs; these accounts suggest inconsistent implementation of clinical processes rather than a uniform standard of care. There is at least one report of an incident that resulted in hospitalization and legal involvement, and reviewers express concern about how such incidents are managed and communicated. Families considering the community should request written policies on medication management, incident response, and transfer/emergency protocols.
Staffing and staff conduct are described inconsistently. Many reviewers praised helpful front-line employees and an easy move-in experience, but others reported that some staff members lacked clinical backgrounds or adequate training, and that hiring and screening practices may be uneven. Several comments describe communication tone and responsiveness as problematic; leadership was characterized in some accounts as unresponsive or more focused on finances than on family concerns. These comments point to leadership and accountability gaps that could affect day-to-day resident experience.
Dining and activities receive mixed feedback. Some reviewers noted good meals and a range of activities, while others described limited meal options, inconsistent meal preparation, or a lack of scheduled programming. This suggests variability in food service and activity delivery rather than a consistent program across the facility. Prospective families should ask for sample menus, activity calendars, and opportunities to observe mealtimes and programming.
Facilities and atmosphere are generally seen as a strength by several respondents; the community is described as clean and attractive when visited. However, perceptions of resident wellbeing vary: where operational concerns are raised, families describe a more subdued or gloomy atmosphere. Value-for-cost is cited positively by multiple reviewers, but that assessment is tempered by the operational concerns listed above.
Notable patterns across the feedback include inconsistent clinical practices (especially around medications), supervision and safety oversight gaps, uneven staffing and training, variable dining and activity experiences, and leadership/communication weaknesses. There are also serious financial-management concerns raised, including an allegation regarding misuse of resident benefit accounts; given the gravity of that type of claim, prospective families should proactively request documentation and clarification about billing, benefit use, and financial controls.
Recommendation: If you are considering Shuler Health Care Villas, visit at several different times of day, observe staff–resident interactions, ask for staffing ratios and training protocols, review medication and incident-response policies, request recent health and safety inspection records, and seek references from current residents’ families. These steps will help you verify which of the mixed reports reflect routine practice and which may be isolated or remediable issues.
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Location
Shuler Health Care Villas is located at 250 Pitts St, Kernersville, NC, 27284.
About Shuler Health Care Villas
Shuler Health Care Villas sits in a quiet cul-de-sac at 250 Pitt Street in Kernersville, North Carolina, and is made up of five brick, ranch-style villas with only 12 beds, so things feel small and cozy, which a lot of folks like. Each villa has house parents living there who handle meal preparation (using organic foods and ingredients as much as possible), help residents with personal care like bathing and dressing, give out medications, do the laundry and linens, and generally keep an eye on things day and night, since staff are always nearby. Meals come three times a day, with three snacks, prepared in the villas' kitchenettes, and staff go out of their way to accommodate special diets, whether that's diabetes-friendly foods or allergy-sensitive choices.
Residents have choices between private suites, studio rooms, and shared rooms, all with air conditioning, private bathrooms, and furnished living spaces, so everyone can settle in comfortably without worrying about furniture or housekeeping, since laundry, dry cleaning, and general cleaning happen as part of daily life. There's a lot of assistance available, from help moving in to medication management-all day, every day. People living here get standby support whenever they need it, and a 24-hour call system makes sure someone's always reachable. The villas suit seniors who want assisted living, independent living, memory care, residential board and care, or even some skilled nursing if things change, with different levels of care to pick from as needs shift.
For health care, diabetic support, non-ambulatory care, and incontinence care are available, with arrangements for medical transportation to and from doctors' appointments as part of daily routines. There's also home care for those needing in-home help on top of everything offered in the community itself. Common areas bring people together for meals and activities, with a dining room, movie nights, scheduled community events, and both indoor spaces and outdoor walking paths or gardens for anyone who likes fresh air or a quiet stroll. Residents enjoy telephone, internet, and cable services in their rooms, and there's an onsite beauty shop for haircuts and such. Parking and transportation arrangements help those who need to get around town.
Shuler Health Care Villas has memory care options for folks with memory impairments, and assistance with all kinds of activities of daily living-getting dressed, moving around, or just enjoying daily activities with a bit of help. A focus on wellness keeps residents active, and the maintenance-free lifestyle means no worries about cooking, home repairs, or cleaning up. With a 6.1 out of 10 community rating, Shuler Health Care Villas, also known as Shuler Health Care/Record Villa, gives seniors a place that blends support, safety, and the comfort of a small community that's organized around everyday needs instead of frills.
People often ask...
Shuler Health Care Villas offers competitive pricing, with rates starting at a cost of $3,704 per month.
Shuler Health Care Villas offers assisted living and board and care.
There are 6 photos of Shuler Health Care Villas on Mirador.
The full address for this community is 250 Pitts St, Kernersville, NC 27284.
No, Shuler Health Care Villas 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.
Identified deficiencies in meal service, dairy provisioning, and medication administration.
10A NCAC 13F .0904(b)(1)Nutrition and Food Service
10A NCAC 13F .0904(d)(3)Nutrition and Food Service
10A NCAC 13F .1004(a)Medication Administration
24 Feb 2026Inspection
24 Feb 2026Inspection
Investigated a complaint and found deficiencies in nutrition and food service and medication administration, including failure to provide non-disposable cups and to offer milk to residents during meals, along with issues in meal setup and beverage service.
10A NCAC 13F .0904 Nutrition And Food ServiceNutrition and Food Service
10A NCAC 13F .0904(d)(3) Nutrition And Food ServiceNutrition and Food Service
Identified deficiencies in medication staff qualification testing and in adherence to prescribed medication administration, including mismanagement of multi-dose packaging and dosing times.
10A NCAC 13F .0403(a)Qualifications Of Medication Staff
10A NCAC 13F .1004(a)Medication Administration
23 Oct 2025Follow-Up
23 Oct 2025Follow-Up
Identified deficiencies in medication administration and staff training, including undocumented administrations and incomplete staff certification testing.
10A NCAC 13F .0403(a) Qualifications Of Medication StaffQualifications Of Medication Staff
Identified deficiencies related to tuberculosis testing and immunization documentation.
Type A10A NCAC 13F.0703(a) Tuberculosis Test, Medical Exam & ImmunizationTuberculosis Test, Medical Examination & Immunizations
21 Oct 2025Inspection
21 Oct 2025Inspection
Found that two residents lacked documented two-step TB testing or read dates, indicating non-compliance with TB testing requirements.
10A NCAC 13F .0703(a)Tuberculosis Test, Medical Examination & Immunizations
28 May 2025Follow-Up
28 May 2025Follow-Up
Corrected deficiencies identified during a biennial follow-up; no further action was required.
28 May 2025Follow-Up
28 May 2025Follow-Up
Verified corrections were completed and no further action was needed.
28 May 2025Follow-Up
28 May 2025Follow-Up
Corrected deficiencies; no further action is needed.
28 May 2025Follow-Up
28 May 2025Follow-Up
Concluded that deficiencies were corrected and no further action was needed.
28 May 2025Follow-Up
28 May 2025Follow-Up
Concluded that deficiencies were corrected and no further action was needed.
25 Mar 2025Construction
25 Mar 2025Construction
Observed multiple safety and maintenance deficiencies: the front gutter pulled away from the building, and exhaust ventilation was not functioning properly in several areas.
10A NCAC 13F .0305PHYSICAL ENVIRONMENT
10A NCAC 13F .0311OTHER REQUIREMENTS
10A NCAC 13F .0311OTHER REQUIREMENTS
25 Mar 2025Construction
25 Mar 2025Construction
Identified unsafe maintenance of building equipment and restricted electrical panel access, including a crimped dryer vent and items stored in front of panels.
Observed noncompliant conditions related to the physical plant, including a crimped dryer vent and obstructed electrical panels, along with hot water temperatures outside the required range.
Identified several safety hazards, including a crimped clothes dryer vent, blocked electrical panels, and inadequate exhaust ventilation; a bathroom exhaust fan was not functioning.
10A NCAC 13F .0311 (a)Other requirements - building equipment maintained in safe operating condition
10A NCAC 13F .0311 (a) and (k)Other requirements - electrical safety and clearance around electrical panels
10A NCAC 13F .0311 (g)Exhaust ventilation
25 Mar 2025Construction
25 Mar 2025Construction
Identified deficiencies in mechanical and ventilation systems, including a crimped clothes dryer vent, obstructed electrical panels, and an inoperative exhaust fan.
10A NCAC 13F .0311Other Requirements
10A NCAC 13F .0311Exhaust Ventilation
25 Mar 2025Construction
25 Mar 2025Construction
Identified deficiencies related to exhaust ventilation and dryer vent safety, including a crimped clothes dryer vent and a bathroom exhaust fan that did not operate. The issues indicate inadequate maintenance of ventilation systems.
10A NCAC 13F .0311Other Requirements
10A NCAC 13F .0311Exhaust Ventilation
25 Mar 2025Construction
25 Mar 2025Construction
Found safety-related deficiencies in the physical plant, including a crimped clothes dryer vent and obstructions near electrical panels. Hot water temperature exceeded the allowed range at a resident fixture.
Type A10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
Type A10A NCAC 13F .0311Hot Water System
25 Mar 2025Construction
25 Mar 2025Construction
Identified deficiencies in outside grounds maintenance and exhaust ventilation systems. Observed gutter pulling away and crimped dryer vent, plus a non-working exhaust fan.
10A NCAC 13F .0305Outside Premises
10A NCAC 13F .0311 (g)Exhaust Ventilation
25 Mar 2025Construction
25 Mar 2025Construction
Identified deficiencies in building equipment maintenance and exhaust ventilation, noting a crimped dryer exhaust and a non-working bathroom exhaust fan.
10A NCAC 13F .0311Building equipment maintained in safe and operable condition
10A NCAC 13F .0311Exhaust ventilation
25 Mar 2025Construction
25 Mar 2025Construction
Identified safety-related deficiencies in building equipment maintenance, including a crimped dryer exhaust and obstructed electrical panels.
Type A10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
10 Sept 2024Inspection
10 Sept 2024Inspection
Identified deficiencies in medication documentation and discontinuation orders, including missing discontinue entries and incomplete eMAR updates.
—Medication administration documentation and discontinuation orders
10 Sept 2024Inspection
10 Sept 2024Inspection
Investigated a medication administration issue and found that a discontinued antidepressant was continued because discontinue orders were not communicated to the pharmacy and the eMAR was not updated.
10A NCAC 13F .1004(a)Medication Administration
31 Jul 2024Inspection
31 Jul 2024Inspection
Investigated failures related to health care referrals and follow-up, and medication administration not being performed as ordered. Documentation gaps showed PCP notifications for high blood pressure were not recorded and meds were given when should have been held.
10A NCAC 13F .0902(b)Health care referrals and follow-up
10A NCAC 13F .1004(a)Medication Administration
31 Jul 2024Inspection
31 Jul 2024Inspection
Investigated a medication management deficiency involving blood pressure medications and monitoring; observed improper documentation and BP-related practice concerns.
—
07 Sept 2023Follow-Up
07 Sept 2023Follow-Up
Found fire safety rehearsals not performed quarterly on all shifts and smoke-tight corridor doors with gaps larger than allowed.
Investigated medication management deficiencies with irregular dosing and documentation for a resident, including delays and reliance on VA/private pharmacy for meds.
—Medication administration and documentation deficiencies
25 May 2023Follow-Up
25 May 2023Follow-Up
Investigated the site's MAR auditing and medication management; identified a Type A2 deficiency requiring follow-up.
—Follow-up to Type A2 violation
25 May 2023Follow-Up
25 May 2023Follow-Up
Investigated the handling of medications for a resident; found multiple failures to administer medications as ordered, including insulin and other prescribed drugs, leading to repeated ER visits and stock issues.
Type A10A NCAC 13F .1004(a)Medication Administration
24 May 2023Inspection
24 May 2023Inspection
Found multiple deficiencies including bed bug infestation management, gaps in medical follow-up, improper medication labeling and administration, and violations of resident rights.
10A NCAC 13F .0306(a)(5)Housekeeping and Furnishings
10A NCAC 13F .0306Housekeeping and Furnishings
Type A10A NCAC 13F .0902(b)Health Care
Type A10A NCAC 13F .0904(b)(1)Nutrition and Food Service
10A NCAC 13F .0909Resident Rights
10A NCAC 13F .1003 (c)Medication Labels
Type A10A NCAC 13F .1004(a)Medication Administration
10A NCAC 13F .1004(j)Medication Administration
10A NCAC 13F .1005(a)Self-Administration Of Medications
24 May 2023Inspection
24 May 2023Inspection
Identified deficiencies in follow-up appointment tracking, pest control coordination, medication management, and staff training. Also noted gaps in procedure documentation and compliance monitoring.
—Bedbug infestation/controls
—Follow-up appointments/tracking
—Table setting procedures
—Bed bug bites assessment and treatment
—Medication bottle labeling corrections
—Stock/out-of-stock and self-administration policy
—Medication administration training and chart accuracy
—Self-administered medications policy
17 Feb 2023Follow-Up
17 Feb 2023Follow-Up
Investigation found multiple deficiencies in medication management, including staff qualifications, TB testing, diabetic care training, and several failures to administer or adjust medications as ordered, along with poor communication with physicians.
10A NCAC 13F .0403(a)Qualifications Of Medication Staff
10A NCAC 13F .0406(a)Test For Tuberculosis
10A NCAC 13F .0505Training On Care Of Diabetic Resident
Type B10A NCAC 13F .0902Health Care
10A NCAC 13F .1002Medication Orders
Type A10A NCAC 13F .1004(a)Medication Administration
10A NCAC 13F .1004(j)Medication Administration
17 Feb 2023Follow-Up
17 Feb 2023Follow-Up
Found deficiencies in medication administration and staff training with incomplete documentation and competency checks. Multiple entries showed missing or incomplete records for staff training, competency checks, and resident medication administration.
—Continued From page 2
—Continued From page 4
—Continued From page 23
—Continued From page 30
—Continued From page 60
24 Nov 2021Follow-Up
24 Nov 2021Follow-Up
Investigated for medication administration issues; found failure to implement physician orders and inadequate availability of several medications, including PRN drugs.
10A NCAC 13F .0902(c)(3-4)Health Care
10A NCAC 13F .1004(a)Medication Administration
24 Nov 2021Follow-Up
24 Nov 2021Follow-Up
Investigated medication administration and documentation; found deficiencies in implementing physician orders and maintaining accurate eMAR records during a survey conducted November 23–24, 2021.
10A NCAC 13F .0902(c)(3-4)Health Care - Documentation of orders and implementation
10A NCAC 13F .0902(c)(3-4)Health Care - Documentation of orders and implementation
10A NCAC 13F .0902Health Care - Documentation of orders and implementation
23 Nov 2021Follow-Up
23 Nov 2021Follow-Up
Investigated medication management issues, revealing failure to clarify insulin orders and failure to administer meds as ordered for a resident.
10A NCAC 13F .1002(a)Medication Orders
10A NCAC 13F .1004(a)Medication Administration
23 Nov 2021Follow-Up
23 Nov 2021Follow-Up
Observed deficiencies in medication management, including missing orders for certain medications and gaps in how orders were transmitted and followed for at least one resident.
10A NCAC 13F .1004Medication Administration
10A NCAC 13F .1004Medication Administration
08 Sept 2021Follow-Up
08 Sept 2021Follow-Up
Investigated deficiencies in health care oversight, including failure to ensure timely follow-up after hospital discharge and proper documentation for residents' care.
10A NCAC 13F.0406(a)Test For Tuberculosis
10A NCAC 13F.0902(b)Health Care
10A NCAC 13F.0902Health Care
08 Sept 2021Follow-Up
08 Sept 2021Follow-Up
Investigated multiple deficiencies across health care, nutrition, medication administration, infection control, activities, and resident rights, including missing TB testing, incomplete resident registers, inadequate follow-up on medical needs, missing reasonable substitutions and hydration at meals, poor activity programming, medication errors and improper storage, weak infection prevention, and incomplete staff training.
10A NCAC 13F .0406(a)Test For Tuberculosis
10A NCAC 13F .0704 (b)Resident Contract, Information On Home And Resident Register
10A NCAC 13F .0902(b)Health Care
10A NCAC 13F .0904(b)(2)Nutrition And Food Service (b) Food Preparation and Service in Adult Care Homes
10A NCAC 13F .0904(d)(3)Nutrition And Food Service (Menus) (d) Substitutions
10A NCAC 13F .0904(d)(3)(H)Nutrition And Food Service (Menus) (d) Hydration
10A NCAC 13F .1801 (c)Infection Prevention & Control Program
G.S. 131D-21(2)Declaration of Residents' Rights
G.S. 131D-4.5BInfection Prevention Training
20 Nov 2019Construction
20 Nov 2019Construction
Found deficiencies in housekeeping, fire safety components, and ventilation, including an unsecured handrail, gaps around a heat detector, and nonfunctional exhaust systems.
10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
10A NCAC 13F .0311OTHER REQUIREMENTS
10A NCAC 13F .0311OTHER REQUIREMENTS
10A NCAC 13F .0311EXHAUST VENTILATION
20 Nov 2019Construction
20 Nov 2019Construction
Identified deficiencies in outside premises, bathroom electrical safety, and building/ventilation equipment.
Type A10A NCAC 13F .0310Electrical Outlets in Wet Locations
Type B10A NCAC 13F .0310Electrical Outlets in Wet Locations
Type A10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
Type B10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
20 Nov 2019Construction
20 Nov 2019Construction
Identified multiple safety and maintenance deficiencies, including damaged exterior gutters, loose hardware, and failing emergency lighting and ventilation.
Found multiple deficiencies in the building and furnishings, including damaged walls and ceilings, loose or unsecured fixtures, a grease buildup, and gaps in ceilings affecting fire safety and ventilation.
Identified a missed tuberculosis test for a staff member hired previously, with incomplete testing records and tracking.
10A NCAC 13F .0406(a)Test For Tuberculosis
07 Sept 2018Inspection
07 Sept 2018Inspection
Investigated deficiencies in resident care, including dietary management, medication administration, and staff training; several deficiencies were identified across multiple sections.
Type A—Continued From page 1 (care and feeding records)
Type A—Continued From page 3 (care planning or correction)
Type A—Medication administration errors
Type A—Infection control training and documentation
Type A—Personnel training plan deficiencies
07 Sept 2018Inspection
07 Sept 2018Inspection
Investigated multiple deficiencies across TB testing, nutrition services, medication administration, and staff infection control training.
10A NCAC 13F .0406(a)Test For Tuberculosis
10A NCAC 13F .0904(e)(4)Nutrition and Food Service
G.S. 131D-4.5B(b)ACH Medication Aides; Training and Competency
08 Jan 2018Inspection
08 Jan 2018Inspection
Investigated concerns about residents' dietary orders and the types of meals served; there were inconsistencies in documenting restrictions and in aligning meals with prescribed diets across several residents.
—Dietary orders and meal service
08 Jan 2018Inspection
08 Jan 2018Inspection
Identified deficiencies in diet service, including missing matching therapeutic diet menus and failure to consistently follow physician-ordered diets for residents.
10A NCAC 13F .0904(c)(7)Menus in Adult Care Homes: Matching therapeutic diet menus
10A NCAC 13F .0904(e)(4)Therapeutic Diets in Adult Care Homes served as ordered
20 Dec 2017Inspection
20 Dec 2017Inspection
Identified failures to ensure TB testing, criminal background checks, and medication aide training for staff, indicating noncompliance with state rules.
G.S.§ 131D-4.5B(b)Medication Aides; Training and Competency
20 Dec 2017Inspection
20 Dec 2017Inspection
Found missing TB skin tests and incomplete staff qualification records for at least one staff member, with ongoing documentation gaps for staff training and verification.
Type AG.S. § 131D-4.5BContinued From page 1
Type A10A NCAC 13F .0407(a)(7)Other Staff Qualifications
Type A—Continued From page 4
09 Nov 2017Construction
09 Nov 2017Construction
Identified multiple deficiencies in sanitation, safety, and maintenance, including no current sanitation inspection, unsecured oxygen cylinders, and several fire and electrical hazards.
10A NCAC 13F .0302 DESIGN AND CONSTRUCTIONMust Have Current Sanitation and Fire Safety Reports
10A NCAC 13F .0306 HOUSEKEEPING AND FURNISHINGSHousekeeping and Furnishings
10A NCAC 13F .0309 PLAN FOR EVACUATIONFire Safety-Rehearsals on Each Shift
10A NCAC 13F .0311 OTHER REQUIREMENTSBuilding Equipment Maintained Safe, Operating
09 Nov 2017Construction
09 Nov 2017Construction
Identified multiple safety and maintenance deficiencies, including absence of a current sanitation inspection, inadequate fire plan rehearsals documentation, and unsafe building/electrical/emergency equipment conditions.
10A NCAC 13F .0302DESIGN AND CONSTRUCTION
10A NCAC 13F .0309PLAN FOR EVACUATION
10A NCAC 13F .0311OTHER REQUIREMENTS
09 Nov 2017Construction
09 Nov 2017Construction
Investigated a complaint about deficiencies related to physical plant safety, evacuation planning, and required safety documentation. Identified deficiencies in evacuation planning and records.
—Must Have Current Sanitation & Fire Safety Reports
10 NAC 13F.0300PLAN FOR EVACUATION
10 NAC 13F.0300PLAN FOR EVACUATION
09 Nov 2017Construction
09 Nov 2017Construction
Identified multiple deficiencies related to sanitation reporting, housekeeping, fire drill documentation, and fire safety equipment.
10A NCAC 13F .0302 DESIGN AND CONSTRUCTION( f)Current sanitation and fire safety inspection reports
10A NCAC 13F .0306 HOUSEKEEPING AND FURNISHINGSHousekeeping and Furnishings
10A NCAC 13F .0309 PLAN FOR EVACUATIONPlan for Evacuation
10A NCAC 13F .0311 OTHER REQUIREMENTSOther Requirements
09 Nov 2017Construction
09 Nov 2017Construction
Investigated deficiencies related to sanitation and fire safety documentation and issues in the physical plant planning.
Type A10A NCAC 13F .0300Must Have Current Sanitation and Fire Safety Reports
Type A10A NCAC 13F .0300Plan for Evacuation
Type A10A NCAC 13F .0300Physical Plant Requirements
09 Nov 2017Construction
09 Nov 2017Construction
Identified multiple deficiencies related to sanitation records, exit door hardware, cleanliness, fire drill rehearsals, and building safety. Noted no current sanitation inspection and some doors failing to latch properly.
10A NCAC 13F .0302DESIGN AND CONSTRUCTION
10A NCAC 13F .0305PHYSICAL ENVIRONMENT
10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
10A NCAC 13F .0309PLAN FOR EVACUATION
10A NCAC 13F .0311OTHER REQUIREMENTS
09 Nov 2017Construction
09 Nov 2017Construction
Investigated a complaint about safety and maintenance; identified deficiencies in evacuation planning and building upkeep.
10A NCAC 13F.0306Plan for Evacuation
09 Nov 2017Construction
09 Nov 2017Construction
Identified multiple deficiencies in sanitation records, housekeeping, fire safety rehearsals, and building equipment. Found lack of a current sanitation inspection and several unsafe conditions.
10A NCAC 13F .0302DESIGN AND CONSTRUCTION
10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
10A NCAC 13F .0309PLAN FOR EVACUATION
10A NCAC 13F .0311OTHER REQUIREMENTS
09 Nov 2017Construction
09 Nov 2017Construction
Investigated a provider and identified multiple deficiencies in the physical plant and safety requirements.
09 Nov 2017Construction
09 Nov 2017Construction
Identified deficiencies related to the physical plant and safety practices at the facility.
23 Jun 2016Inspection
23 Jun 2016Inspection
Identified deficiencies in medication administration where pre-poured medications were not consistently kept in sealed, properly labeled containers identifying each resident and medication strengths; several labels did not reflect current orders.
10A NCAC 13F .1004(f)Medication Administration
03 May 2016Follow-Up
03 May 2016Follow-Up
Identified unclean and unrepaired building components, including dusty HVAC return vents and dampers, that could interfere with damper activation in a fire emergency.
10A NCAC 13F .0306Housekeeping and Furnishings
03 May 2016Follow-Up
03 May 2016Follow-Up
Observed ongoing deficiencies in housekeeping and building safety, including dusty HVAC vents with dampers and a warped door that would not fully close or latch.
10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
10A NCAC 13F .0311OTHER REQUIREMENTS
03 May 2016Follow-Up
03 May 2016Follow-Up
Identified deficiencies not satisfactorily corrected after a follow-up survey and will require a new Plan of Correction.
SECTION .0300 - PHYSICAL PLANTHousekeeping and Furnishings-Clean, Repaired
03 May 2016Follow-Up
03 May 2016Follow-Up
Found deficiencies related to safety maintenance and building integrity, including fire-resistance and HVAC equipment issues, plus an unprotected penetration in a wall near the water heater.
10A NCAC 13F .0300Housekeeping and Furnishings-Clean, Repaired
03 May 2016Follow-Up
03 May 2016Follow-Up
Identified deficiencies in cleanliness and fire safety components that remained uncorrected, including dusty HVAC vents and improper fire barrier sealing.
Inspected follow-up deficiencies showed ongoing issues with maintaining cleanliness and operability of building components, including internal vents and doors failing to latch.
Type A10A NCAC 13F.0311Housekeeping and Furnishings-Clean, Repaired
Type A10A NCAC 13F.0311Building Equipment Maintained Safe, Operating
03 May 2016Follow-Up
03 May 2016Follow-Up
Investigated deficiencies in building safety and housekeeping, including unmaintained components and unsafe penetrations, with dusty HVAC elements observed.
10A NCAC 13F.0311Housekeeping and Furnishings-Clean; Repaired
03 May 2016Follow-Up
03 May 2016Follow-Up
Observed deficiencies in maintaining cleanliness and safety of building components. HVAC return vents and related dampers were dusty, potentially hindering fire damper operation, and there was an unprotected penetration in a wall near the water heater.
10A NCAC 13F .0306Housekeeping and Furnishings
10A NCAC 13F .0311Other
29 Mar 2016Follow-Up
29 Mar 2016Follow-Up
Identified multiple safety and maintenance deficiencies during follow-up, including missing sanitation and fire safety reports and several hazards related to cleanliness, storage, and ventilation.
10A NCAC 13F .0302DESIGN AND CONSTRUCTION
10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
10A NCAC 13F .0311OTHER REQUIREMENTS
10A NCAC 13F .0311OTHER REQUIREMENTS
29 Mar 2016Follow-Up
29 Mar 2016Follow-Up
Observed ongoing deficiencies in sanitation, fire safety, and building condition; a new plan of correction was required.
10A NCAC 13F .0302Must Have Current San. & Fire Safety Reports
Identified several deficiencies in safety, sanitation records, ventilation, and housekeeping, with follow-up observations noting maintenance issues.
—Must Have Current Sanitation & Fire Safety Reports
—Exhaust Ventilation
—Housekeeping - Maintained Free of Hazards
29 Mar 2016Construction
29 Mar 2016Construction
Follow-up identified deficiencies related to sanitation reporting and building safety that had not been corrected. Observed issues included missing current sanitation reports, dusty ventilation components, and doors not closing properly.
10A NCAC 13F .0302Current sanitation and fire safety reports
10A NCAC 13F .0306Housekeeping and furnishings - clean, repaired
10A NCAC 13F .0311Other requirements
29 Mar 2016Follow-Up
29 Mar 2016Follow-Up
Identified deficiencies in building maintenance and unprotected penetrations, including an unsealed ceiling penetration.
e10A NCAC 13F .0302 Design and ConstructionBuilding maintenance/physical plant cleanliness and repair
e10A NCAC 13F .0302 Design and ConstructionPenetrations and sealing of building elements
29 Mar 2016Follow-Up
29 Mar 2016Follow-Up
Identified ongoing safety and maintenance deficiencies, including missing current sanitation and fire safety reports and damaged building components. Observed unclean HVAC components, penetrations, and doors that would not fully close or latch.
10A NCAC 13F .0302 DESIGN AND CONSTRUCTIONMust Have Current San. & Fire Safety Reports
10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
Identified deficiencies related to building maintenance and unprotected penetrations near an emergency light, with follow-up noting areas not kept clean or repaired.
Section 0300 - Physical PlantContinued From page 1: This Rule not met; building components not maintained
Section 0300 - Physical PlantContinued From page 2: Unprotected penetrations near emergency light
29 Mar 2016Follow-Up
29 Mar 2016Follow-Up
Identified deficiencies in building maintenance and unsealed penetrations; follow-up found an additional unprotected penetration. Overall, violations were cited.
—Continued From page 1 - Unmaintained building components and unsealed penetrations
29 Mar 2016Follow-Up
29 Mar 2016Follow-Up
Identified deficiencies in maintenance of building components and safety systems; follow-up showed some corrective actions were taken.
10A NCAC 13F.0302Building components not maintained in clean, repaired condition
10A NCAC 13F.0300Must Have Current Sanitation & Fire Safety Reports
Found that current sanitation and fire safety reports were not available and several building components were not kept clean or safe, including dust on baseboards, dirty HVAC vents, a missing window screen, and unprotected penetrations near an emergency light.
10A NCAC 13F .0300Must Have Current San. & Fire Safety Reports
10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
Investigated deficiencies in life-safety systems and facility maintenance, including smoke/heat detection in certain spaces and general housekeeping concerns.
—Continued From page 1
10A NCAC 13F.0305Continued From page 2
10A NCAC 13F.0306Continued From page 2
10A NCAC 13F.0311Continued From page 4
08 Jan 2016Construction
08 Jan 2016Construction
The inspection identified multiple safety and maintenance deficiencies, including missing smoke/heat detection, unsafe bathroom hardware, and issues affecting egress and general physical environment.
Type A10A NCAC 13F.0301Physical Plant - Design and Construction
Type A10A NCAC 13F.0305Bathrooms-Hand Grips
Type A10A NCAC 13F.0301Physical Plant - Design and Construction
Type A10A NCAC 13F.0301Housekeeping and Furnishings - Clean, Repaired
Type A10A NCAC 13F.0311Building Equipment Maintained Safe, Operating
Type A10A NCAC 13F.0311Building Equipment Maintained Safe, Operating
08 Jan 2016Construction
08 Jan 2016Construction
Identified multiple deficiencies in safety and building maintenance, including missing detectors, obstructed corridors, and several unsafe electrical and fire protection conditions. Addressed as required corrective actions.
10A NCAC 13F .0301APPLICATION OF PHYSICAL PLANT REQUIREMENTS
10A NCAC 13F .0302DESIGN AND CONSTRUCTION (f)
10A NCAC 13F .0305(g)PHYSICAL ENVIRONMENT
10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
10A NCAC 13F .0311OTHER REQUIREMENTS
07 Jan 2016Construction
07 Jan 2016Construction
Found multiple deficiencies in the physical plant and safety systems. The issues included smoke/heat detection gaps, missing sanitation and fire safety reports, obstructed corridors, dusty and damaged furnishings, and nonfunctional ventilation.
10A NCAC 13F .0301(2)Smoke/heat detection not installed in all spaces
10A NCAC 13F .0302(f)Current sanitation and fire safety reports not available
10A NCAC 13F .0305(g)Corridors free of equipment/obstructions
10A NCAC 13F .0306Housekeeping and furnishings not maintained
10A NCAC 13F .0311Building equipment not maintained safe/operating
10A NCAC 13F .0311(g)Exhaust ventilation not maintained
07 Jan 2016Construction
07 Jan 2016Construction
Deficiencies were found in safety and facility maintenance, including blocked egress, mildew in a shower, unprotected penetrations, and inadequate ventilation and smoke/heat detection systems.
—Initial Comments
—Corridors-Free of equipment and obstructions
—Continued From page 3
—Exhaust Ventilation
—Exhaust Ventilation
07 Jan 2016Construction
07 Jan 2016Construction
Identified multiple facility safety and maintenance deficiencies, including missing smoke/heat detection, lack of sanitation reports, obstructed corridors, and several unsafe building components.
10A NCAC 13F .0301APPLICATION OF PHYSICAL PLANT REQUIREMENTS
10A NCAC 13F .0302DESIGN AND CONSTRUCTION – SANITATION AND FIRE SAFETY REPORTS
Deficiencies identified in safety systems and facility maintenance included missing smoke detection, unsafe building conditions, obstructed corridors, and nonfunctional exhaust ventilation.
10A NCAC 13F.0300Corridors-free of equipment and obstructions
10A NCAC 13F.0311Exhaust ventilation
10A NCAC 13F.0300Housekeeping and furnishings - Clean
07 Jan 2016Construction
07 Jan 2016Construction
Found multiple safety and maintenance deficiencies, including electrical hazards, fire/smoke detection concerns, blocked corridors, and unprotected penetrations.
Type A10A NCAC 13F.0311Other Requirements (Physical Plant)
Type B10A NCAC 13F.0311Other Requirements (Physical Plant)
Type A10A NCAC 13F.0311Other Requirements (Physical Plant)
Type B10A NCAC 13F.0311Other Requirements (Physical Plant)
Type A10A NCAC 13F.0311Corridors - Free of Equipment and Obstructions
Type A10A NCAC 13F.0311Housekeeping and Furnishings - Clean, Repaired
07 Jan 2016Construction
07 Jan 2016Construction
Identified multiple deficiencies in physical plant and safety systems, including lack of smoke/heat detection in key areas, obstructed corridors, dirty components, and unsafe electrical conditions.
10A NCAC 13F .0301Application of physical plant requirements
10A NCAC 13F .0302Current sanitation and fire safety reports
10A NCAC 13F .0305Corridors free of equipment and obstructions
10A NCAC 13F .0306Housekeeping and furnishings
10A NCAC 13F .0311Other requirements
16 Mar 2015Inspection
16 Mar 2015Inspection
Investigated found multiple deficiencies in medication administration, CPR training, snack service, and resident rights. Violations included nontransferable validation, missing on-site CPR certification, inadequate snacks, and evidence of verbal abuse and neglect.
Type B10A NCAC 13F .0503 (e)Medication Administration Competency
Type B10A NCAC 13F .0507Training On Cardio-Pulmonary Resuscitation
Type B10A NCAC 13F .0904(d)(2)Food Requirements in Adult Care Homes—Snacks
Type A10A NCAC 13F .0909Resident Rights
Type B10A NCAC 13F .1004(a)Medication Administration
Type B10A NCAC 13F .1004(c)Medication Administration
Type B10A NCAC 13F .1004 (f)Medication Administration
Type B10A NCAC 13F .1004 (h)Medication Administration
29 Jan 2015Inspection
29 Jan 2015Inspection
Investigated health and social care facilities found deficiencies in staff training, resident health care, and medication management, with several areas lacking proper documentation and completion of required trainings.
10A NCAC 13F.0501Personal Care Training and Competency
10A NCAC 13F.0902(b)Health Care
G.S. 131D-4.5Home Medication Aides
29 Jan 2015Inspection
29 Jan 2015Inspection
Investigated found several deficiencies in staff training, resident care, and meal management, including gaps in medication aide and personal care training, improper dietary practices, vaccination follow-up, and infection prevention.
10A NCAC 13F .0403(c)Qualifications Of Medication Staff
10A NCAC 13F .0501Personal Care Training And Competency
10A NCAC 13F .0902(b)Health Care
10A NCAC 13F .0904(e)(4)Nutrition and Food Service
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