Durham County Dept. Of Social Services - LONG TERM CARE FACILITIES Web Site

DSS / Adult Care Listings - Durham Ridge (3-Star Rated Home) Details

Facility Information:

Facility Name:	Durham Ridge (3-Star Rated Home)
Administrators:	Janet Moose, Tom Husvar
Address:	3420 Wake Forest Highway Durham, NC 27703
Phone:	919-596-9464
Website:
Contact Email:	drassisted@yahoo.com

Facility Services:

What are the types of Adult Care Homes?

Type:.

Adult Care Home

Population Served:

55 and up; disabled adults

Licensed Special Care Unit:

Special Care Unit for adults 55 and up with Dementia and Alzheimer’s

Licensed Number Of Beds:

142

Facility Operations:

Business Owners:

Durham Ridge Assisted Living, LLC

Length In Operation Under Current Owner:

Since November 2008

Payment Accepted:

State/County Special Assistance. Private Pay

Community Advisory Committee reports:

Community Advisory Committee reports:
Click the File to view a report.

09DurhamRidge100208.pdf

DurhamRidge060508.pdf

2DURHAMRIDGE11107.pdf

Compliance Information:

Posted as of January 1 2008

Complaints:

Past Years of Complaints for Durham Ridge (3-Star Rated Home): 2007 - 2008

- Complaints for 2008

Date of Complaint	Licensure Area	Allegation	Findings


6/5/2008	Housekeeping, Foodservice	Caller reported housekeeping and structural concerns. The caller also indicated problems with broken showers, food service and the lack of soap available for resident use.	DSS observed the bathroom/shower fixtures for the home’s 4 main halls. It was noted that 2 of 4 of the main bathrooms had broken showers and or missing bars or hand grips. 7 residents were interviewed about their perceptions about the quality of the food served at Durham Ridge. 4 of 7 residents indicated that the quality of the food could be improved as it was often too tough. DSS assessed the home’s bathrooms to ascertain how resident have access to soap. The AHS noted that 1 of 4 of the home’s bathrooms had working soap dispensers for use during showers. The AHS noted that the soap dispensers on the 100, 200 and 300 Halls were either empty or appeared to be broken

5/15/2008	Medication Administration	Caller reported that an insulin dependent resident was not receiving his insulin as instructed by doctor's orders.	AHS reviewed the records for 8 of the home’s identified residents receiving insulin and or sliding scale. It was determined that documentation for 1 of 8 records indicated that the resident was not receiving his medications as ordered.

2/21/2008	PERSONAL CARE	Caller reported that staff at the facility do not respond when resident's ring their call bells for assistance.	6 of 8 residents interviewed stated that they have experienced or seen incidents in which staff did not repond to call bell requests within a timely manner. It was discovered also that mechanical issues within the call bell system may have contributed to the problem.

- Complaints for 2007

Date of Complaint	Licensure Area	Allegation	Findings





08/09/2007	Building Requirements	Caller alleged that the temperature in the home was very hot. The caller indicated that the home’s air conditioning units were not properly working and the staff at the home did not appear to be addressing the problem in any way.	Temperature readings on 8-09-07, revealed that Durham Ridge failed to ensure that air conditioning or at least one fan per resident bedroom and living and dining areas was provided when the temperature in the main center corridor exceeded 80 degrees.

07/26/2007	USE OF PHYSICAL RESTRAINTS	Caller alleged that residents who are in restraints are in them without proper medical orders. Caller believes that Durham Ridge staff are not aware about the rules for using restraints.	It was concluded that Durham Ridge failed to ensure that resident’s who required restraints had restraint orders that were ordered, implemented, and maintained according to adult care home rules for 3 of 3 residents.

04/09/2007	Personal Care & Supervison	It was alleged that adequate supervision was not provided for a resident with dementia.	On 4/07/07, a resident with dementia was left unattended. The resident wandered away from the facility and was found 6 hours later at a private residence approximately 6 miles from the home.

04/04/2007	Nutrition & Food Service	Caller reported that the facility did not prepare enough food for dinner. Caller stated that staff offered a meal that consisted of a single sandwich when this happened.	8 residents revealed that they had witnessed occasions in which, the dinner entrée had ran out and sandwiches were offered.

02/15/2007	Medication Administration	Caller reported that medication administration records are not completely properly.	A sample of 6 resident records documented that 6 resident records were not completed properly.

02/15/2007	Residents Rights	Caller reported that staff routinely speak to residents in harsh demeaning tones.	A sample of 8 residents found 7 residents who stated several staff members at the facility are disrespectful and, rude.

01/18/2007	Medication Administration	Caller reported residents are not administered medications on time. Caller stated that a 12noon medication was given as late as 3:00pm.	A sample of 6 residents revealed that 6 residents did not receive their medications in a timely manner.

Complaints for 2009

Date of Complaint	Licensure Area	Allegation	Findings
8/4/2009	Medication Administration	Caller alleged that the facility was not administering medications as ordered by the resident's physician.	Based on observation, review of facility and resident records, and interviews with staff and residents, it was determined that the facility did not administer medications as orderd for 1 of 7 residents.

1/27/2009	Personal Care and Supervision	Residents were moved from the Special Care Unit to the assisted living section of the facility without doctor's authorization to make room for new admissions.	Based on observations, interviews, and record review the AHS determined that 3 residents with a diagnosis of disorientation or wanderer were moved from the Special Care Unit to the assisted living section of the facility without doctor's authorization.

Corrective Actions:

Past Years of Corrective Actions for Durham Ridge (3-Star Rated Home): 2007 - 2008

- Corrective Actions for 2008

Date Issued	Licensure Area	Violation	Date Corrected
11/21/2008	G.S. 131D-21 #2 Residents Rights	The facility failed to assure that the resident received care and services which are accurate, appropriate, and in compliance with relevant federal and state laws and rules and regulations.	12/5/2008
11/21/2008	10A NCAC 13F.1501 Use of Physical Restraints and Alternatives	The facility failed to assure that orders for restraints were complete, clarified, accurately transcribed and documented for 2 of 3 residents.	12/5/2008
11/21/2008	10A NCAC 13F ,0901 Personal Care and Supervision	The facility failed to provide supervision of a resident in accordance with assessed needs and current symptoms.	12/5/2008
7/15/2008	BUILDING REQUIREMENTS	Violations were noted with broken bathroom fixtures, missing shower curtains, broken and soap dispensers.	8/12/08
4/7/2008	Personal Care & Supervision	6 of 8 residents indicated that staff do not resppnd to cal bells within a timely manner.	6/16/08
7/3/2008	Medication Administration	It was determined that 1 of 8 insulin dependent residents was not receiving medications as ordered by the doctor.	8/12/08
5/9/2008	Use of Physical Restraints	Durham County DSS noted that on 4-30-08, 3of 3 residents who required medical orders for the use of physical restraints had orders that were incomplete and no longer current.	6/16/2008
4/8/2008	Personal Care & Supervision	6 of 8 residents indicated that they have personally experiences or have seen an occurrence in which staff did not respond promptly to resident call bells.	6-16-08

- Corrective Actions for 2007

Date Issued	Licensure Area	Violation	Date Corrected
11/14/2007	Resident's Bill of Rights	The facility failed too assure every resident had the right to receive care and services which are aadequate, appropriate, and in compliance with rules and regulations as related to Health Care	1-15-08
11/14/2007	Medication Administration	The facility failed to assure staff administered medications and treatments as ordered by a licensed prescribing parctioner for 3 of 16 residents observed during the medication pass and 2 of 8 residents sampled for record review	1-15-08
11/14/2007	Health Care	The facility failed to assure referral and follow-up to meet the routine and acute heatlh care needs of 5 of 8 residents sampled for review as related to treatement of a foot ulcer, notifying physicican of refusals of antibiotic, coordinating with physician to obtain fingerstick blood sugars, obtaining TED hose, orthopedic shoes,and large blood pressure cuff.	1-15-08
11/14/2007	Competency Validation for staff	The facility failed to assure non-licensed staff met the requirements for training and competency validation for 2 or 2 residents who received subcutaneous injections. Non-licensed staff may only administer subcutaneous injections, excluding anticoagulants.	1-15-08
09/06/2007	Resident's Bill of Rights	The facility failed to assure every resident had the right to receive care and services which are adequate, appropriate, and in compliance with rules and regulations as related to Personal Care and Supervsion, Health Care, and Medication Administration.	1-15-08
09/06/2007	Medication Administration	The facility failed to assure staff administered medications and treatments as ordered by a licensed prescribing practioner for 6 of 13 residents observed and 3 of 7 sampled for review.	1-15-08
09/06/2007	Health Care	The facility failed to assure referral and follow up to meet the acute and routine health care needs as related to physician ordered lab work, (2 residents) physician notification for acute conditions (1 resident) and rescheduling missed appointments (1 resident).	1-15-08
09/06/2007	Personal Care/Supervsion	The facility failed to provide supervision to prevent accidents cause by current symptoms and behaviors, such as smoking, hitting other residents and falling for 5 06 residents residing in the Alzheimer's Special Care Unit	11-14-07
08/23/2007	Building Requirements	It was concluded that Durham Ridge failed to ensure that air conditioning or at least one fan per resident bedroom and living and dining areas was provided when the temperature in the main center corridor exceeded 80 degrees.	9/27/2007
08/23/2007	Use of Physical Restraints	Durham Ridge failed to ensure that resident’s who required restraints had restraint orders that were ordered, implemented, and maintained according to adult care home rules for 3 of 3 residents requiring physical restraints.	9/27/2007
06/07/2007	Pharmaceutical Care	Based on record review and staff interview, the facility failed to assure that action was taken in response to medication reviews and documented for 4 of 5 residents.	9-27-07
06/07/2007	Medication Administration	Based on observation and interview, the facility to assure medications were administered in accordance with infection control measures during the 8:00am and 12noon medication passes on 5/15/07.	9-27-07
06/07/2007	Medication Administration	Based on observation, interview and review of medication administration records (MARs), the facility failed to record on the MARs immediately following administration and observation of the resident taking the medication, prior to the next resident, for 3 of 3 residents.	9-27-07
06/07/2007	Medication Administration	Based on observation and interview of staff, the facility failled to assure that medications prepared in advance were identified up to the point of administration and protected from contamination and spillage for 2 of 3 residents.	9-27-07
06/07/2007	Medication Administration	Based on observation, interview and record review, the facility failed to assure that staff administered medications and treatments as ordered by a licensing prescribing practioner for 3 of 8 residents	1-15-08
05/03/2007	Food Service	8 residents revealed that they had witnessed occasions in which, the dinner entrée had run out and sandwiches were offered.	5/23/07
05/09/2007	Personal Care & Supervision	Adequate supervision was not provided for a resident with dementia. The resident wandered from the home and was found 6 hours later.	5/29/07
03/26/2007	Medication Administration	Failure to assure that resident medication administration records are documented accurately for 6 residents.	4/26/2007
02/21/2007	Medication Administration	Failure to assure that 6 residents received their medications as ordered by their doctors.	4/26/2007

Corrective Actions for 2009

Date Issued	Licensure Area	Violation	Date Corrected
9/17/2009	Medication Administration	The facility failed to administer medications as ordered for 1 of 7 residents.	10/14/09
2/6/2009	Resident Rights	Based on observations, interviews, and record reviews, the facility failed to assure that every resident received care and services which are adequate, appropriate, and in compliance with the rules and regulations as related to supervision	2/19/09
2/6/2009	Personal Care and Supervision	Based on observations, interviews, and record reviews, the facility failed to assure supervision for 1 of 3 sampled wandering residents who wandered away from the facility.	2/19/09
2/6/2009	Personal Care and Supervision	Based on observations, staff and resident reviews, andrecord reviews, the facility failed to provide nail care needs for 2 of 7 sampled residents who are unable to provide self nail care.	2/19/09
2/6/2009	Other Requirements	Based on observations, review of hot water temperature log, and staff and resident interviews the facility failed to assure hot water temperatures at all fixtures used by residents were maintained between 100 degrees F and 116 degrees F for 9 of 11 sampled fixtures. THe water temperatures were between 100 degrees F and 138 degrees F.	2/19/09
2/6/2009	Resident Rights	The facility failed to assure that residents received care and services which are adequate, appropriate, and in compliance with relevant federal and state laws and rules and regulations.	3/10/09
2/6/2009	Physical Environment	Based on observation and record review, it was determined that at least 3 residents living in the assisted living section of the facility had current FL-2 s that identify them as either disoriented or a wanderer. The facility failed to have sounding devices on exit doors in the assisted living section of the facility.	3/10/09

Negative Sanctions:

Past Years of Negative Sanctions for Durham Ridge (3-Star Rated Home): 2007 - 2008

- Negative Sanctions for 2008

Date Of Sanction	Licensure Area	Sanction Type	Findings
5/14/2008	MEDICATION ADMINISTRATION	Financial Penalties	$6,540.00, Based upon findings from an annual survey conducted by the Divison of Health Service Regulation and the Durham County DSS on 5/16/07, the facility had a medication error rate of 35%. 4 residents were identified as not receiving medications as ordered by their doctors. The facilty was given the date of 6/30/07 to correct these problems. On 9/06/07, a follow-up visist was conducted and it was noted that the home had a 53% error rate, with 8 residents not receiving their medications as ordered. On 11/14/07 the facility was had improved and was back in compliance.
5/14/2008	HEALTH CARE & RESIDENTS' RIGHTS	Financial Penalties	$2,940.00. Based on findings from an annual survey conducted by the Division of Health Service Regulation and Durham County DSS on 9-06-07, Durham Ridge Assisted Living failed to assure follow and referral was completed to meet the health care needs for 4 of 8 sampled residents regarding lab work to monitor Coumadin (blood thinner), missed appointments and physician notification of swollen painful feet. A follow-up survey was conducted on 11-14-07 and findiings revealed the facility failed to assure follow-up and referral was completed to meet the health care needs for 5 of 8 sampled residents regarding treatment of a foot uldcer, refusal of medication, fingerstick blood sugars, obtaining TED hose, orthopedic shoes and a large blood pressure cuff. On 1/15/08, a follow-up visit was conducted in which the home was in compliance.

- Negative Sanctions for 2007

Date Of Sanction	Licensure Area	Sanction Type	Findings
12/21/2007	Health Care and Medication Administration	Suspension of Admissions-Lifted Effective 1-16-08	"Based on the information and recommendations submitted by our staff and the Durham County Department of Social Services, the facility failed to compley with Articles1 and 3 of Chapter 131D of the North carolina General Statues and the rules adopted pursuant to these articles. The documented violation indicate that conditions in the home are found to be detrimental to the health and safety of the residents. Therefore, you are hereby ordered to suspend all admissions to the home effective immediately. The Suspension of Admissions is to continue until conditions or circumstances merit removing the suspension."
11/19/2007	Personal Care & Supervision	Financial Penalties	Home was fined $1,000 for a 4/07/07, incident in which a resident with dementia was left unattended. The resident wandered away from the facility and was found 6 hours later at a private residence approximately 6 miles from the home. Home paid fine on 11/28/07.

Negative Sanctions for 2009

Date Of Sanction

Licensure Area

Sanction Type

Findings

Facility Location: