5824 Holland Street|
Morganton, NC 28655
Statements of Deficiencies (form used by the state to document inspections) are posted for adult care facilities with survey dates beginning November 1, 2014 and deficiencies or violations were identified.
Note: A Yes under the column, IDR Pending, indicates the facility has requested Informal Dispute Resolution (IDR), a process that gives a facility the opportunity to dispute all or some of the findings of a state inspection. If the Statement of Deficiency is changed as a result of IDR, the web page will be updated.
|Inspection Type||Document Type||Inspection Date||Pages||IDR Pending|
|ACLS Annual||Statement of Deficiency with Plan of Correction||11/4/2016||4||No|
|ACLS Annual||Statement of Deficiency||11/4/2016||3||No|
|ACLS Annual and Follow-up||No Deficiencies Cited||10/28/2015||No|
|ACLS Follow-up||Statement of Deficiency||5/19/2015||3||No|
|ACLS Complaint and Follow-up||Statement of Deficiency||3/13/2015||47||No|
|ACLS Annual||Statement of Deficiency with Plan of Correction||12/12/2014||7||No|
|ACLS Annual||Statement of Deficiency||12/12/2014||6||No|
|Constr Biennial||Statement of Deficiency with Plan of Correction||5/10/2016||5||No|
|Constr Biennial||Statement of Deficiency||5/10/2016||5||No|
Star Ratings are based on the results of DHSR inspections and some inspections by the County Department of Social Services (DSS).
|Stars||Score||Issue Date||Merits||Demerits||Inspection Type|
|(ZERO STARS)||(0)||68.75||4/6/2015||1.25||21||Complaint||View Worksheet|
Penalties imposed during the last 36 months are listed.
|Penalty Issued Date||Penalty Amount||Penalty Type||Reason for Issuance||Current Status||Amount Paid||Date of Payment|
|Rule Cited||Nature of Violation|
|8/18/2014||$1,000.00||Type A2||10A NCAC 13G .0317 (d) Building Service Equipment; G.S. 131D-21 (2) Declaration of Residents' Rights||Facility failed to ensure the hot water temperatures at all fixtures used by residents were maintained at a safe temperature no greater than 116 degrees (F)||Paid in Full||$1,000.00||9/2/2014|
|8/20/2015||$1,000.00||Type A2||10A NCAC 13G .1206 Health Care Personnel Registry; G.S. 131D-21 (4) Declaration of Residents' Rights||Facility failed to protect residents by not reporting and investigating allegations of abuse, neglect and drug diversion to the Health Care Personnel Registry for one former staff.||(collection letter sent 7/8/16) 8/24/2016 & 12/30/2015 Settlement Agreement for $500.00; Appealed 09/14/2015|