Listing of Facilities with Penalties

This is the list of facilities, by county names, that have been found in violation of one or more rules since January 2006.

Alamance County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
       Rule Cited Nature of Violation    
L M & S Adult Care No. 2 FCL-001-063 7/14/2006 $1,350.00 Not corrected Type B 10A NCAC 13G .0406 Other Staff Qualifications Criminal background checks for 4 staff members were not done before hiring Partial pmt.
Partial pmt.
Paid in Full
$500.00
$500.00
$350.00
9/14/2006
10/30/2006
11/07/2006
L M & S Adult Care No. 2 FCL-001-063 3/20/2008 $2,000.00 Type B Unabated 10A NCAC 13G .0406 (a)(5) Other Staff Qualifications; G.S. 131D-21 (2) Declaration of Residents' Rights Healthcare registry verification was not conducted for one staff on first visit and for 3 of 6 staff on revisit Partial pmt. $500.00 5/29/2008
Rainbow of Love #2 FCL-001-112 1/26/2007 $1,230.00 Not corrected Type B 10A NCAC 13G .0406 (a)(7) Other Staff Qualifications; G.S. 131D-21 (2) Declaration of Residents' Rights Criminal background checks were not conducted on two staff Referred to the Controller's Office    
Rainbow of Love #3 FCL-001-111 1/8/2007 Staff Training Not corrected Type B 10A NCAC 13G .0406(a)(7) Other Staff Qualifications Criminal background checks were not conducted on two staff Facility Closed    
Rainbow of Love #3 FCL-001-111 1/8/2007 Staff Training Not corrected Type B 10A NCAC 13G .0403 (a) Qualifications of Medication Staff Staff administering medications had not completed the clinical skills validation prior to administration of medications. Facility Closed    
Agape Family Care FCL-001-106 4/4/2007 $1,250.00 Type A 10A NCAC 13G .0601 Management & Other Staff; G.S. 131D-21 (2) Declaration of Residents' Rights Resident was left unsupervised and locked out of facility Paid in Full $1375.00 6/14/2007
Alvarado's Family Care FCL-001-101 6/27/2007 $2,000.00 Type A 10A NCAC 13G .0901 (b) Personal Care and Supervision; G.S. 131D-21 (2) Declaration of Resident's Rights Staff allowed Alzheimer resident to walk on facility grounds unsupervised; she was killed when struck by vehicle backing out of driveway Partial pmt.
Paid in Full
$1,000.00
$1,000.00
07/18/2007
07/25/2007
Angels Family Care Home II FCL-001-078 11/19/2007 $4,890.00 Not corrected Type B 10A NCAC 13G .1004 Medication Administration, 10A NCAC 13G .0403 (a) Qualifications of Medication Staff; G.S. 131D-21 (2) Declaration of Residents' Rights Medications were not administered as ordered to 6 of 6 residents; facility failed to ensure staff administering medications were competency validated to administer medications Referred to Controller's Office    
Angel's Family Care Home FCL-001-119 5/14/2008 $9,000.00 Type B Unabated 10A NCAC 13G .0406 (a)(5)(7) Other Staff Qualifications; G.S. 131D-21 (2) Declaration of Residents' Rights Criminal background checks were not conducted for 6 staff and Health Care Personnel registry verification did not occur for 3 staff      
Angels Family Care Home FCL-001-119 1/18/2008 $2,850.00 Not corrected Type B 10A NCAC 13G .1004 (b) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Both staff administering medications had not completed the clinical skills validation prior to administration of medications      
The Oaks of Burlington HAL-001-011 10/30/2007 $6,160.00 Not corrected Type B 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents Rights Residents continued to not receive medications as ordered Settlement Agreement 3/19/08
Appealed 12/3/07
$2,500.00 4/2/2008

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Bertie County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
       Rule Cited Nature of Violation    
Cherry's Family Care Home #2 FCL-008-002 8/27/2007 $4,500.00 Type A 10A NCAC 13G .0906 Other Resident Services; G.S. 131D-21 (2) Residents' Rights Staff failed to notify family or law enforcement when resident left and failed to return to the facility Paid in Full $5,040.00 1/3/2008
Cherry's Family Care Home FCL-080-002 5/14/2008 $1,000.00 Type A 10A NCAC 13G .1004 (a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Medication was not administered as ordered; resident did not receive insulin as ordered resulting in ER treatment      
Cherry's Family Care Home #7 FCL-008-018 11/19/2007 $1,000.00 Type A 10A NCAC 13G .0909 Resident Rights; G.S. 131D-21 (4) Declaration of Residents' Rights Facility failed to protect two residents from physical abuse by staff Appealed 12/21/07    
River's Edge Rest Home HAL-008-017 10/31/2007 $2,000.00 Type A 10A NCAC 13F .0902 (b) Health Care; G.S. 131D-21 (2) Declaration of Resident's Rights Facility failed to obtain medical referral and follow-up as needed for two residents Referred to Controller's Office    

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Bladen County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
       Rule Cited Nature of Violation    
Bladenboro Assisted Retirement Community HAL-009-019 9/26/2007 Staff Training Type A 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Residents did not receive medications as ordered      
Bladenboro Assisted Retirement Community HAL-009-019 2/21/2008 $2,000.00 Type A 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21 (2) Declaration of Residents' Rights Staff failed to notify physician of one insulin dependent resident' s blood sugars as ordered      
Bladenboro Assisted Retirement Community HAL-009-019 5/14/2008 $3,480.00 Type B Unabated 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21(2) Declaration of Residents' Rights Residents did not receive medications as ordered      
Bladenboro Assisted Retirement Community HAL-009-019 5/14/2008 $3,480.00 Type B Unabated 10A NCAC 13F. 0901(a) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Residents' Rights Residents did not receive personal care assistance with toileting, bathing, grooming and transfers; staff failed to respond to calls during third shift      

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Brunswick County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
       Rule Cited Nature of Violation    
Eldo Family Care Home #1 FCL-010-002 04/07/2006 $500.00 Type A 10A NCAC 13G .0601 Management and Other Staff Nine (three that lived in the facility and 6 from another facility) residents were left unattended and unsupervisedby staff Paid in Full $500.00 6/8/2006

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Buncombe County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Alterra Clare Bridge HAL-011-035 5/3/2007 $14,000.00 Type A 10A NCAC 13F .0902 (a)(b)(c) (1)(2)(3)(4) Health Care; G.S. 131D-21 (2) (4) Declaration of Residents' Rights Facility failed to implement order for labwork; resident's decline continued with subsequent admission to hospital and death occurring later that day Appealed 6/1/07    
Dominion Falls Unit K FCL-011-110 5/3/2007 $1,600.00 Not corrected Type B 10A NCAC 13G .0406 (a)(7) Other Staff Qualifications; G.S. 131D-21 (2) Declaration of Residents' Rights Criminal backgorund check not conducted on staff hired as live-in supervisor Referred to Controller's Office    
Dominion Falls Unit K FCL-011-110 5/3/2007 $1,600.00 Not corrected Type B 10A NCAC 13G .0406 (a)(5) Other Staff Qualifications; G.S. 131D-21 (2) Declaration of Residents' Rights Healthcare registry verification was not conducted for staff hired as live-in supervisor Referred to Controller's Office    
Dominion Falls Family Care Home FCL-011-139 4/6/2006 $500.00 Type A 10A NCAC 13G .0909 Resident Rights; 13G .0601 Management and Other Staff; G.S. 131D-21 (2) Declaration of Residents' Rights Staff left two residents alone and unsupervised Paid in Full $500.00 4/23/2007
Dominion Falls Family Care Home Unit N (6) Previously known as Sunrise Family Care Home #5 FCL-011-240 11/1/2007 $2,000.00 Type A 10A NCAC 13G .0901 Personal Care and Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to supervise incompetent resident who left the facility unattended; law enforcement not notified about absence and guardian not notified until next day Referred to Controller's Office    
Dominion Falls Family Care Home Unit O (6) Previously known as Sunrise Family Care Home #6 FCL-011-239 11/1/2007 $8,500.00 Type A 10 NCAC 13G .0901 (b) Personal Care and Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to supervise resident; resident left facility without signing self out of facility and facility failed to contact law enforcement when resident did not return Referred to Controller's Office    
Haywood Heights FCH FCL-011-207 2/21/2008 $2,000.00 Type A 10A NCAC 13G .0317(d) Building Service Equipment; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to maintain hot water temperatures in safe range for resident use in resident bathrooms Paid in Full $2,000.00 4/14/2008
Marjorie McCune Memorial Ctr. HAL-011-011 11/17/2006 $2,800.00 Not corrected Type B 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Insulin not administered as ordered due to blood sugar levels not monitored as ordered for four residents Paid in Full $2,800.00 12/13/2006
Marjorie McCune Memorial Ctr. HAL-011-011 01/23/2006 $3,000.00 Type A 10A NCAC 13F .0909 Resident Rights; 13F .0902 Health Care; G.S. 131D-21 (2)(4) Declaration of Residents' Rights Resident receiving Coumadin did not have lab work performed as ordered Paid in Full $3,000.00 6/19/2006
Marjorie McCune Memorial Ctr. HAL-011-011 04/10/2006 $900.00 Type A 10A NCAC 13F .0902 Health Care; 13F .0909 Residents Rights; G.S. 131D-21 Declaration of Residents' Rights Resident receiving Coumadin did not have lab work performed as ordered Paid in Full $900.00 6/30/2006
Plemmons FCH #2 FCL-011-036 6/27/2007 $3,920.00 Not corrected Type B 10A NCAC 13G .0406 (a)(7) Other Staff Qualifications; G.S. 131D-21 (2) Declaration of Residents' Rights Criminal background check not conducted on two of two staff employed by facility Partial Payment
Paid in Full
$920.00
$3507.44
8/9/2007
06/13/2008
Richmond Hill Rest Home #3 HAL-011-190 07/14/2006 Staff Training Type A 10A NCAC 13F .0601 Management of Facilities with a Capacity or Census of Seven to Thirty Residents; 13F .0909 Residents Rights;G.S. 131D-21 (4) Declaration of Residents' Rights Staff left residents alone and unsupervised to attend meeting. Training Completed   2/7/2007
Richmond Hill Rest Home #4 HAL-011-189 06/02/2006 $1,000.00 Type A 10A NCAC 13F .0902 Health Care (a)(b)(c); 13F .0909 Residents' Rights; G.S. 131D-21 (2) Declaration of Residents' Rights Resident receiving Coumadin did not have lab work performed as ordered Paid in Full $1,000.00 7/21/2006
Shadybrook Living Center HAL-011-155 11/22/2006 $6,000.00
$12,000.00
Type A 10A NCAC 13F.1004 (a) Medication Administration; 10A NCAC 13F .1010 Pharmaceutical Services; G.S. 131D-21 (2)(4) Declaration of Residents' Rights Resident with respiratory congestion did not receive ordered antibiotic timely Settlement Agreement 5/24/07 Appealed 12/19/2006 Paid in Full $6,000.00 3/6/2008
Shadybrook Living Center HAL-011-155 11/22/2006 Training
$7,500.00
Not corrected Type B 10A NCAC 13F .0902(a)(b)(c)(3)(4) Health Care;G.S. 131D-21 (2)(4) Declaration of Residents' Rights Resident did not have blood sugar levels monitored as ordered and did not receive ordered amount of insulin Settlement Agreement 5/24/07 Training Appealed 12/19/2006 Training Completed 3/27/08  

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Burke County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Glenda's Plantation FCL-012-021 2/21/2008 $1,000.00 Type A 10A NCAC 13G .0901 Personal Care & Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Staff failed to supervise residents left in vehicle during shopping excursion; one disoriented resident wandered into roadway Paid in Full $1,000.00 4/14/2008
Longview Assisted Living HAL-012-022 01/23/2006 $1,350.00 Not corrected Type B 10A NCAC 13F .1001 Medication Administration Policies and Procedures; 13F .1004(a) Medication Administration;
G.S. 131D-21 (2) Declaration of Residents' Rights
Residents did not receive medications as ordered Paid in Full $1,350.00 1/5/2007

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Cabarrus County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Concord House HAL-013-031 06/02/2006 $3,420.00 Not corrected Type B 10A NCAC 13F .1004(e) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Residents did not receive medications as ordered Paid in Full $3,420.00 1/8/2007
Concord House HAL-013-031 09/14/2006 $6,000.00
$12,000.00
Type A 10A NCAC 13F .1004 Medication Administration; G.S. 131D-21 Declaration of Residents' Rights Resident did not receive medications as ordered, suffered withdrawal effects requiring hospitalization Settlement Agreement 10/17/07
Appealed 10/13/06
   
Concord House HAL-013-031 6/19/2008 $20,000.00 Type A 10A NCAC 13F .0901 (c ) Personal Care and Supervision; 10A NCAC 13F .0909 Resident Rights; G.S.131D-21 (2) Declaration of Residents' Rights Staff failed to provide resuscitation when resident discovered unresponsive.      

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Catawba County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Walden House HAL-018-015 11/19/2007 $4,000.00 Type A 10 NCAC 13F .0901(b) Personal Care & Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to supervise two residents who were confused and disoriented who would leave the building and cross nearby four-lane highway. Paid in Full $4,000.00 12/12/2007

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Caswell County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Jones Family Care #4 FCL-017-030 01/26/2006 $1,000.00 Type A 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21 Declaration of Residents' Rights Resident locked out of facility and left unsupervised until staff returned. Paid in Full $1,000.00 3/8/2006

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Cleveland County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Brooks Family Care Home FCL-023-024 09/14/2006 $2,340.00 Not corrected Type B 10A NCAC 13G .1002 Medication Orders; 13G .1004 Medication Administration Medication orders were not clarified and meds administered without orders for one resident Paid in Full $2,340.00 11/2/2006
Openview Retirement Center HAL-023-004 01/23/2006 $2,000.00 Type A 10A NCAC 13F .0307 Fire Alarm System; 13F .0901(b) Personal Care and Supervision; 13F .1212(a) Reporting of Accidents and Incidents; 13F .0407(a) Other Staff Qualifications Staff failed to respond timely to resident in need of emergency medical services. Room was locked and staff did not have key Paid in Full $2,000.00 3/28/2006
Openview Retirement Home HAL-023-004 1/18/2008 Staff Training Type A 10A NCAC 13F .0901(b)(c) Personal Care and Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Resident with history of leaving previous placements without notice left facility during early morning hours; another resident informed staff of resident's absence Training Completed 3/5/08    
Alterra Sterling House Of Shelby HAL-023-011 10/30/2007 $16,000.00 Type A 10A NCAC 13F .0901(b)(c) Personal Care and Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Facility staff failed to administer CPR when resident found unresponsive Paid in Full $16,000.00 11/28/2007
Unique Living HAL-023-034 1/22/2007 $16,000.00 Type A 10A NCAC 13F .0901 Personal Care & Supervision; 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21 (2)(4) Declaration of Residents' Rights Resident wandered from facility, was returned and left again on same day; later found dead Appealed 02/20/2007 Upheld 07/31/2007
Paid in Full
$18,850.99 2/5/2008

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Columbus County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Lake Waccamaw Senior Living HAL-024-009 1/12/2007 $4,000.00 Type A 10A NCAC 13F .0901 (b) Personal Care & Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Residents (two) wandered from facility without staff's knowledge Paid in Full $4,000.00 2/9/2007
Lake Waccamaw Senior Living HAL-024-009 1/9/2007 $4,860.00 Not corrected Type B 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Medications were not administered as ordered Paid in Full $4,860.00 1/25/2007

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Craven County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Alterra Sterling House of New Bern HAL-025-012 2/23/2007 $2,500.00 Type A 10A NCAC 13F .901 (b) Personal Care & Supervision: G.S. 131D-21 (2) Declaration of Residents' Rights Resident wandered from facility without staff's knowledge Paid in Full $2,500.00 3/22/2007
Christian Care of New Bern HAL-025-018 1/9/2007 $1,000.00 Type A 10A NCAC 13F .0906 (f)(4) Other Resident Care & Services; G.S. 131D-21 Declaration of Residents' Rights Staff failed to identify resident's failure to return to facility and did not notify family or law enforcement abt. missing status Paid in Full $1.000.00 2/1/2007
Croatan Village Assisted Living HAL-025-020 1/9/2007 $3,500.00 Type A 10A NCAC 13F .0901 (a)(h)(4) Personal Care & Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Resident wandered from the facility without staff's knowledge Paid in Full $3,500.00 2/9/2007
Homeplace of Newbern HAL-025-014 01/12/2006 $2,000.00 Type A 10A NCAC 13F .0305 Physical Environment; 13F .1304 Special Care Unit Bldg. Requirements; G.S. 131D-21 (2) Declaration of Residents' Rights Two residents(confused/disoriented) wandered from the facility without staff's knowledge Paid in Full $2,000.00 2/2/2006
Magnolia Place of New Bern HAL-025-019 3/23/2007 $2,500.00 Type A 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Staff failed to notify physician when one resident with dementia refused all medications and as result required hospitalization. Paid in Full $2,500.00 5/30/2007
Riverstone HAL-025-026 3/20/2008 Staff Training Type B Unabated 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Medications were not administered as ordered including sliding scale insulin for 3 of 3 residents on two separate inspections Training completed 05/16/ 2008    
The Courtyards at Berne Village HAL-025-015 5/3/2007 $1,000.00 Type A 10A NCAC 13F .0901 Personal Care & Supervision; G.S. 131D-21 (2)(4) Declaration of Residents' Rights Resident (confused/disoriented) wandered from facility, was returned and left again on same day without staff knowledge. Referred to Controller's Office    

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Cumberland County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Jean's Rest Home FCL-026-029 1/16/2008 $1,720.00 Not corrected Type B 10A NCAC 13G .0317 (d) Building Service Equipment; G.S. 131D-21 (2) Declaration of Residents' Rights Hot water temperatures were not maintained in a safe range for resident use Appealed 02/15/2008    
Forest Hills Rest Home HAL-026-003 01/23/2006 $2,700.00 Not corrected Type B 10A NCAC 13F .1004 Medication Administration G.S. 131D-21 (2) Declaration of Residents' Rights Staff administering medications had not completed the clinical skills validation prior to administration of medications. Paid in Full $2,700.00 3/29/2006
Forest Hills Rest Home HAL-026-003 01/23/2006 $3,000.00 Type A 10A NCAC 13F .1004 Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Medications were not administered as ordered. Paid in Full $3,000.00 3/29/2006
Len-Care of Cedar Creek, Inc HAL-026-041 8/27/2007 $4,000.00 Type A 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2)(4) Declaration of Residents' Rights Medications were not administered as ordered with significant errors including residents did not receive coumidin as ordered; other resident did not receive medication for seizure disorder; residents' medications not administered based on unavailability Referred to Controller's Office    
Len-Care of Cedar Creek, Inc HAL-026-041 8/27/2007 $1,200.00 Not corrected Type A 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2)(4) Declaration of Residents' Rights Medications were not administered as ordered with significant errors including failure to adminster residents' coumidin and insulin as ordered and failure to notify physician of when resident's blood sugars were high; residents had documentation of medications not administered based on unavailablity Referred to Controller's Office    
Cross Creek Manor Assisted Living, LLC HAL-026-050 6/19/2008 $2,940.00 Type B Unabated 10A NCAC 13F .0311 (d) Other Requirements; G.S. 131D-21 (2) Declaration of Residents' Rights Hot water temperatures were not maintained in a safe range for resident use      

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Davie County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Davie Place HAL-030-003 Amended letter sent 1/2/2008 11/19/2007 $18,000.00 Type A 10A NCAC 13F .0901 (b) Personal Care & Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Resident utilizing oxygen was consistently noncompliant to facility's smoking policy; she continued to smoke in room with oxygen resulting in explosion Settlement Agreement 4/4/08;
Appealed 12/19/2007
   

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Durham County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Friendly Rest Home, Inc HAL-032-003 3/20/2008 $6,160.00 Type B Unabated 10A NCAC 13F .0902 (b) Health Care; G.S. 131D-21 Declaration of Residents' Rights Physicians were not notified for residents' health care needs including pressure sores, psychiatric care, PT and podiatry services Paid in Full Settlement Agreement 6/18/2008; Appealed 03/24/2008 $2,000.00 6/30/2008
Love and Care Family Care Home II FCL-032-082 3/20/2008 $1,500.00 Type A 10A NCAC 13G .0601 (b) Management and Other Staff; G.S. 131D-21 (2) Declaration of Residents' Rights Staff left facility leaving two residents unsupervised in facility Paid in Full $1,667.49 6/30/2008
Camellia Gardens HAL-032-071 9/26/2007 Staff Training Type A 10A NCAC 13F .1004 (a)(1) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Resident did not receive medication as ordered      
The Meadows of Oak Grove HAL-032-063 2/13/2007 $1,500.00 Type A G.S. 131D-21 (2)(4) Declaration of Residents' Rights Staff reacted to resident aggression by physical "choking of resident" and verbal threat; facility did not remove staff from resident care during investigation of incident Referred to Controller's Office    
South Point Manor HAL-032-072 1/12/2007 $1,000.00 Type A 10A NCAC 13F .0311 Other Requirements; G.S. 131D-21 (2) Declaration of Residents' Rights Hot water temperatures were not maintained in safe range in residents' bathrooms Paid in Full $1,000.00 2/14/2007
Durham Ridge HAL-032-080 11/19/2007 $1,000.00 Type A 10A NCAC 13F .0901 (b) Personal Care & Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Resident from Special Care Unit was escorted out of secured unit and left unsupervised. Resident found 6 miles from facility Paid in Full $1,000.00 11/28/2007
Durham Ridge Assisted Living HAL-032-080 5/14/2008 $2,940.00 Type B Unabated 10A NCAC 13F .0902 (b) Health Care; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to assure follow-ups and referrals occurred to meet health care needs for five residents      
Durham Ridge Assisted Living HAL-032-080 5/14/2008 $6,540.00 Type B Unabated 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Residents' Rights Residents did not receive medications or treatments as ordered      

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Duplin County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Golden Care HAL-031-003 09/14/2006 $2,960.00 Not corrected Type B 10A NCAC 13F .0407(a)(5) Other Staff Qualifications; 13F .0507 Training on Cardio-Pulmonary Resuscitation; G.S. 131D-21 (2) Declaration of Residents' Rights Criminal background checks had not been done for 3 staff members before hiring; 10 staff members did not have CPR training; 9 shifts did not have a staff member on duty that was CPR qualified Paid in Full $2,960.00 11/7/2006
Moore's Family Care Home #1 FCL-031-005 5/3/2007 $1,000.00 Type A 10A NCAC 13G .0909 Resident Rights; G.S. 131D-21 (4) Declaration of Residents' Rights Facility failed to protect resident from physical abuse and exploitation by staff and residents Paid in Full $1,000.00 5/11/2007
Moore's Family Care Home #1 FCL-031-005 6/27/2007 $1,000.00 Type A 10A NCAC 13G .0317(d) Building Service Equipment; G.S. 131D-21 (2) Declaration of Resident's Rights Hot water temperatures were not maintained in safe range in two residents' bathrooms Paid in Full $1,000.00 7/2/2007

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Edgecombe County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Britthaven of Tarboro HAL-033-001 9/26/2007 $3,000.00 Type A 10A NCAC 13F .0901 Personal Care and Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Staff failed to supervise smoking of residents whose behaviors demonstrated need for increase supervision Paid in Full $3,000.00 10/11/2007

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Forsyth County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
NaRu Family Care Home #1 (6) FCL-034-071 11/1/2007 $1,000.00 Type A 10A NCAC 13G .0317 (d) Building Service Equipment; G.S. 131D-21 (2) Declaration of Residents' Rights Hot water temperatures were not maintained in safe range for resident use Paid in Full $1,000.00 12/28/2007
Hines Good Samaritan Home FCL-034-077 6/27/2007 $1,770.00 Not corrected Type B 10A NCAC 13G .0405 Test For Tuberculosis; G.S. 131D-21 (2) Declaration of Resident's Rights Four of five staff members providing personal care had not been tested for tuberculosis Paid in Full $1,770.00 1/16/2008
The Homestead HAL-034-032 6/19/2008 $9,240.00 Type B Unabated 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Resident did not receive insulin medication as ordered; facility continued with medication problem for extended period Paid in Full $9,240.00 6/30/2008

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Franklin County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Alston Family Care Home FCL-035-008 07/14/2006 $2,040.00 Not corrected Type B 10A NCAC 13G .0405 Test For Tuberculosis; G.S. 131D-21 (2) Declaration of Residents' Rights Personal care staff (2) had not been tested for tuberculosis Paid in Full $2,040.00 9/18/2006
Louisburg Gardens HAL-035-013 5/7/2007 $2,300.00 Not corrected Type B 10A NCAC 13F .0902 (b) Health Care; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to ensure four of four residents received timely referral and follow-up for health care needs due to facility not informing practitioners or providing necessary information to ensure services provided Settlement Agreement 09/05/2007 Combined with Type A & Not corrected Type B Penalties Appealed 05/16/2007 Training Completed $3,250.00 12/26/2007
Louisburg Gardens HAL-035-013 6/27/2007 $4,000.00 Type A 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21 (2) Declaration of Resident's Rights Facility failed to provide supervision in accordance to assessed needs and current symptoms for three residents exhibiting aggressive or sexually inappropriate behaviors Settlement Agreement 09/05/2007 Combined with Type A & Not corrected Type B Penalties Appealed 07/23/2007 Training Completed $3,250.00 12/26/2007

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Gaston County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
South Haven Long Term HAL-036-005 5/11/2007 $3,060.00 Not corrected Type B 10A NCAC 13F .0407(a)(2) Other Staff Qualifications; G.S. 131D-21 (2) Declaration of Resident's Rights Facility unable to effectively execute procedures in response to fire drill Paid in Full $3,060.00 1/3/2008
Country Time Inn HAL-036-018 5/3/2007 $4,000.00 Rescind
Type A Violation
Type A
10A NCAC 13F .0311 (d) Other Requirements; G.S. 131D-21 (2) Declaration of Residents' Rights Hot water temperatures were not maintained in a safe range for use by residents Training Completed 3/20/08; Settlement Agreement 1/24/08 Training Appealed 05/25/2007    
Moses Manor Inc. HAL-036-001 1/12/2007 $55.00 Not corrected Type B 10A NCAC 13F .0406 Test for Tuberculosis; G.S. 131D-21 (2) Declaration of Resident Rights Personal care staff (5) had not been tested for tuberculosis Referred to Controller's Office    
Rosewood Assisted Living HAL-036-004 5/14/2008 $3,240.00 Type B Unabated 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Medications were not administered as ordered; continued problems with ensuring finger stick blood sugars were taken as ordered and as result insulin not administered as ordered      

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Graham County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
R&M Family Care Home FCL-038-004 01/12/2006 $1,000.00 Type A 10A NCAC 13G .0801 (c)(d) Resident Assessment; 13G .1002(a) Medication Orders; 13G .1004(a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Medications were not administered as ordered. Medications orders were not clarified. Resident assessment was not completed when a significant change in condition occurred. Paid in Full $1,000.00 3/24/2006

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Guilford County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Clare Bridge at High Point HAL-041-033 6/19/2008 $3,300.00 Type B Unabated 10A NCAC 13F .1004 (a) Medication Administration; G.S.131D-21 (2) Declaration of Residents' Rights Medications were not administered as ordered      
Friendship Care Assisted living HAL-041-002 1/5/2007 $2,640.00 Not corrected Type B 10A NCAC 13F .0403 Qualifications of Medication Staff G.S. 131D-21 (2) Declaration of Residents' Rights Two Staff administering medications had not completed the clinical skills validation prior to administration of medications. Paid in Full $2,899.98 12/4/2007
Friendship Care Assisted Living HAL-041-002 11/17/2006 $12,000.00 Type A 10A NCAC 13F .1004(a) Medication Administration; 13F .0505 Training on Care of Diabetic Residents; G.S. 131D-21 (2) Declaration of Residents' Rights Staff administering insulin were not trained on diabetic care prior to administering insulin. Two residents did not receive insulin as ordered. Paid in Full $12,000.00 1/23/2007
Friendship Care Assisted Living HAL-041-002 10/24/2006 $5,120.00 Not corrected Type B 10A NCAC 13F.1004 (a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Resident did not receive medications as ordered. Paid in Full $5,120.00 1/4/2007
Friendship Care Assisted Living HAL-041-002 08/22/2006 $3,920.00 Not corrected Type B 10A NCAC 13F .0703 Tuberculosis Test, Medical Examination and Immunizations; 13F .1004 Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Residents were not being tested for tuberculosis; medications were not administered as ordered Paid in Full $3,920.00 1/17/2007
Friendship Care Assisted Living HAL-041-002 07/14/2006 $12,000.00 Type A 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21 (2)(4) Declaration of Residents' Rights Staff failed to protect residents from physical abuse. Paid in Full $12,000.00 1/4/2007
Friendship Care Assisted Living HAL-041-002 1/18/2008 $5,000.00 Type A 10A NCAC 13F .0902 (b) Health Care; 10A NCAC 13F .1004 (a) Medication Administration Due to lack of payment, ordered medications were not obtained nor administered to 4 residents; physican was not notified of failure to obtain/adminster ordered medications Settlement Agreement 01/17/2008
$5000.00
Paid in Full
$5000.00 2/21/2008
Piedmont Christian Home HAL-041-010 9/6/2006 $12,000.00 Type A 10A NCAC 13F .0901(b) Personal Care and Supervision; 13F .0902(b) Health Care; 13F .0909 Residents Rights; G.S. 131D-21 (2) Declaration of Residents' Rights Interventions and safety was not provided for a resident with multiple falls when using a Meri-Walker ambulation device Appealed 10/16/06
Settlement Agreement 6/19/2007
$5,000.00 Training Completed 07/11/2007 6/19/2007
St. Gales Estates, Inc. HAL-041-023 11/17/2006 $7,500.00 Type A 10A NCAC 13F .0901(b) Personal Care and Supervision; 10A NCAC 13F .0305(h)(4) Physical Environment; 10A NCAC 13F .1212(e) Reporting of Accidents and Incidents; 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to keep all door alarms on to alert staff of residents' exiting building. Resident wandered from facility and was struck by automobile. Resident suffered fractures Paid in Full $7,500.00 12/20/2006

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Harnett County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Core Family Care, Inc. HAL-043-001 1/16/2008 $5,700.00 Not corrected Type B 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2)Declaration of Residents' Rights Medications including insulin were not administered as ordered Paid in Full $5,700.00 3/19/2008
Pinecrest Gardens HAL-043-022 6/19/2008 $3,500.00 Type B Unabated 10A NCAC 13F .0904 (e)(4) Nutrition and Food Service; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to serve residents ordered therapeutic diets      
Oak Hill Living Center HAL-043-015 3/20/2008 $4,000.00 Type A 10A NCAC 13F .0904 (e)(4) Nutrition and Food Service; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to serve 5 of 8 residents therapeutic diets and thickened liquids as ordered      
Oak Hill Living Center HAL-043-015 5/15/2008 $7,000.00 Type A 10A NCAC 13F .0902 (b) Health Care; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to provide residents with follow-up and referrals for routine and acute health care needs including high blood sugars, weight loss, and pain Paid in Full $7,000.00 6/25/2008
Oak Hill Living Center HAL-043-015 5/15/2008 $3,350.00 Type B Unabated 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Medications were not administered as ordered including insulin Paid in Full $3,350.00 6/25/2008
Primrose Villa Retirement IV HAL-043-019 3/20/2008 $1,080.00 Type B Unabated 10A NCAC 13F .0311 (d) Other Requirements; G.S. 131D-21 (2) Declaration of Residents' Rights Hot water temperatures were not maintained in safe range for use in resident and community baths Paid in Full $1,080.00 6/30/2008
Pinecrest Gardens of Lillington HAL-043-012 8/27/2007 Staff Training Type A 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21 (2) Declaration of Resident's Rights Facility failed to supervise smoking activities of resident with dementia residing in the facility's locked unit. Resident had previously had a fire in her bathroom. Training Completed   10/10/2007

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Henderson County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Cherry Springs Village HAL-045-099 6/19/2008 $4,000.00 Type A 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Medications were not administered as ordered; resident did not receive coumadin as ordered      

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Hertford County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Twin Oaks Rest Home HAL-046-002 Proposal #1 4/5/2007 $810.00 Not corrected Type B 10A NCAC 13F .0407 (a) (5) Other Staff Qualifications; G.S. 131D-21 (2) Declaration of Residents' Rights Healthcare registry verifications were not conducted for six staff Paid in Full $810.00 8/30/2007
Twin Oaks Rest Home HAL-046-002 Proposal #2 4/5/2007 $810.00 Not corrected Type B 10A NCAC 13F .0407 (a) (7) Other Staff Qualifications; G.S. 131D-21 (2) Declaration of Residents' Rights Criminal background checks were not conducted for five staff Paid in Full $810.00 8/30/2007
Twin Oaks Rest Home HAL-046-002 Proposal #3 4/5/2007 $810.00 Not corrected Type B 10A NCAC 13F .0406 (a) Test for Tuberculosis; G.S. 131D-21 (2) Declaration of Residents' Rights Five of seven staff did not have tuberculois tests Paid in Full $810.00 8/30/2007
Twin Oaks Rest Home HAL-046-002 Proposal #4 4/5/2007 $1,080.00 Not corrected Type B 10A NCAC 13F .1004 (a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Medications were not administered as ordered for 7 of 8 residents Paid in Full $1,080.00 8/30/2007

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Hoke County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Open Arms Retirement Center HAL-047-003 1/30/2007 $5,250.00 Not corrected Type B 10A NCAC 13F .0406 (a) Test for Tuberculosis; 10A NCAC 13F .0504 (a) Competency Validation for Licensed Health Professional Support Task; G.S. 131D-21 (2) Declaration of Residents' Rights Three of 13 staff did not have tuberculosis test; ten of 13 staff were not competency validated before providing licensed health professional tasks such as oxygen administration, changing dressings, catheter care, using hoyer lift, and other services Settlement Agreement 3/13/08; Appealed 3/2/07    

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Johnston County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Clayton House HAL-051-028 6/27/2007 $5,360.00 Not corrected Type B 10A NCAC 13F .1004 Medication Administration; G.S. 131D-21 (2) Declaration of Resident's Rights Medications were not administered as ordered for 7 of 16 residents Settlement Agreement 4/4/08;
Appealed 7/27/07
   
Cardinal Care Assisted Living HAL-051-030 9/26/2007 Staff Training Type A 10A NCAC 13F .0902 (b) Health Care; 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents' Rights Staff failed to clarify orders with physician which resulted in resident not receiving insulin as ordered Training Completed   12/23/2007
Cardinal Care Assisted Living Village #2 HAL-051-032 11/19/2007 $3,600.00 Not corrected Type B 10A NCAC 13F .0901 (b) Personal Care and Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to supervise resident's smoking behavior. Resident smoked in his room Paid in Full $3,600.00 1/17/2008
Four Oaks Assisted Living HAL-051-026 9/26/2007 $7,000.00 Type A 10A NCAC 13F .0901 (b) Personal Care and Supervision; G.S. 131D-21 (2) Declaration of Residents' Rights Staff failed to supervise the smoking activities of residents whose behavior demonstrated the need for increased supervision Paid in Full $7,000.00 11/28/2007
Front Street Family Care Home FCL-051-017 02/14/2006 $2,000.00 Type A 10A NCAC 13G .1004(a) Medication Administration; G.S. 131D-21 Declaration of Residents' Rights Medication not administered as ordered for one resident Paid in Full $2,000.00 4/28/2006

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Lee County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Leaks Family Care FCL-053-013 8/29/2006 Staff Training Not corrected Type B 10A NCAC 13G .1004(a) Medication Administration; G.S. 131D-21 (2) Declaration of Residents Rights Medications not administered as ordered Training Completed   10/30/2006
Ashewood Estates Retirement HAL-053-011 5/14/2008 $16,000.00 Type A 10A NCAC 13F .0901 (b) Personal Care & Supervision; 10A NCAC 13F .0902 (b) Health Care G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to implement measures to prevent falls; physician notification and medical assessment/treatment was not obtained for resident who fell and those who had acute and routine healthcare needs      

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Mecklenburg County

Facility Name License Number Penalty Issued Date Penalty Amount Penalty Type Reason for Issuance Current Status Amount Paid Date of Payment
          Rule Cited Nature of Violation      
Oakdale Heights Senior Living HAL-060-062 04/06/2006 $1,000.00 Not corrected Type B 10A NCAC 13F .1004(a) Medication Administration; 13F .0909 Residents Rights; GS 131D-4.4 Adult Care Home Minimum Safety Requirements Rights Medication for one resident not administered as ordered Paid in Full $1,000.00 5/12/2006
Slay's Rest Home HAL-060-038 8/27/2007 $9,120.00 Not corrected Type B 10A NCAC 13F .0507 Training On Cardio-Pulmonary Resuscitation; G.S. 131D-21 (2) Declaration of Residents' Rights Facility failed to to ensure at least one staff on duty at all times who had CPR course. Facility failed to correct noncompliance for 98 days past date given for correction Paid in Full $10,090.00 12/21/2007
Slay's Rest Home HAL-060-038 8/27/2007 $7,840.00 Not corrected Type B 10A NCAC 13F .0407 (a)(7) Other Staff Qualifications; G.S. 131D-21 (2) Declaration of Residents' Rights Criminal background checks for 4 of 5 staff were not conducted. Facility failed to correct noncompliance for 98 days past date given for correction Paid in Full $8,676/00 12/13/2007
Willow Ridge Assisted Living HAL-060-070 6/2/2006 $2,500.00 Type A