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Adult Family Home

Peninsula Family Care Home

18240 John Connor Road, Cornelius, NC 280316 bedsLicensed & Active
Source: NC DHSR — view official record

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State Inspection History

State Inspections

Source: NC Division of Health Service Regulation

9total
12deficiencies
Mar 26, 2024Other
Tuberculosis Test And Medical Examination10A NCAC 13G .0702(b)

The facility failed to ensure that one of three sampled residents had an updated FL2 medical examination. The resident's last examination was dated 11/15/22, which was not updated annually as required.

Resident Assessment10A NCAC 13G .0801(b)

The facility failed to ensure that one of three sampled residents had an updated care plan. The last care plan on record for the resident was completed on 12/01/22, failing the requirement for an annual update.

Licensed Health Professional Support10A NCAC 13G .0903(c)

The facility failed to ensure quarterly licensed health professional support (LHPS) evaluations were completed for one of three sampled residents. The resident required evaluations that were not documented as being performed quarterly.

Mar 26, 2024Other
Tuberculosis Test And Medical ExaminationC 203

The facility failed to ensure that one of three sampled residents had an updated FL2 medical examination. Specifically, Resident #2's medical examination had not been updated annually as required by regulation.

Resident AssessmentC 231

The facility failed to comply with requirements regarding the completion of resident assessments within 30 days of admission and annually thereafter.

Nov 22, 2022Other
Design And ConstructionC 022

The facility failed to ensure the building was properly equipped and maintained for residents with cognitive impairments who cannot evacuate independently. Specifically, the facility lacked a fire suppression system despite having residents who require supervision and are unable to evacuate on their own.

Nov 22, 2022Other
Design And ConstructionC-tag not explicitly provided

The facility failed to ensure the building was properly equipped and maintained for residents with cognitive impairments who are unable to evacuate independently. Specifically, the facility was licensed for six ambulatory residents but lacked a fire system and failed to account for the needs of residents requiring verbal cues and physical guidance during emergencies.

Nov 30, 2021Routine
Design And ConstructionC 022

The facility failed to ensure residents' evacuation capabilities matched the capabilities listed on its current license. Specifically, one resident required physical assistance to exit the facility during a fire drill, despite the facility being licensed for only ambulatory residents.

Nov 30, 2021Routine
Design And ConstructionC 022

The facility failed to ensure residents' evacuation capabilities matched the evacuation capability listed on its current license. Specifically, one resident required physical assistance to exit during a fire drill, despite the facility being licensed for only 6 ambulatory residents. The resident in question was documented as being totally dependent on staff for transfers and ambulation.

Nov 30, 2021Routine
Design And ConstructionC 022

The facility failed to ensure residents' evacuation capabilities matched the capabilities listed on its current license. Specifically, one resident required physical assistance to exit the facility during a fire drill, despite the facility being licensed for only ambulatory residents.

Nov 30, 2021Routine
Design And ConstructionC022

The facility failed to ensure resident evacuation capabilities matched the capabilities listed on its current license. Specifically, one resident required physical assistance to exit the facility during a fire drill, despite the facility being licensed for only ambulatory residents.

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References & Resources

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