NC DHSR ACLS: Inspections, Ratings and Penalties

Facility Information

License Number:	HAL-017-054
Site Address:	535 US Highway 158 West Yanceyville, NC 27379
County:	Caswell
Capacity:	100 Beds

Statement of Deficiencies

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 Follow-up	Statement of Deficiency	9/7/2023	10	No
ACLS Follow-up	Statement of Deficiency with Plan of Correction	6/8/2023	113	No
ACLS Follow-up	Statement of Deficiency	6/8/2023	113	No
ACLS Complaint	Statement of Deficiency with Plan of Correction	3/13/2023	80	No
ACLS Complaint	Statement of Deficiency	3/13/2023	80	No
ACLS Annual, Complaint, and Follow-up	Statement of Deficiency with Plan of Correction	2/2/2023	67	No
ACLS Annual and Follow-up	Statement of Deficiency	1/16/2020	28	No
ACLS Annual and Follow-up	Statement of Deficiency with Plan of Correction	1/16/2020	28	No
ACLS Follow-up	Statement of Deficiency with Plan of Correction	9/19/2019	82	No
ACLS Follow-up	Statement of Deficiency	9/19/2019	81	No
ACLS Follow-up	Statement of Deficiency	9/19/2019	81	No
ACLS Follow-up	Statement of Deficiency with Plan of Correction	5/17/2019	34	No
ACLS Follow-up	Statement of Deficiency	5/17/2019	34	No
ACLS Annual and Follow-up	Statement of Deficiency	1/16/2019	220	No
ACLS Complaint and Follow-up	Statement of Deficiency	4/13/2018	13	No
ACLS Annual, Complaint, and Follow-up	Statement of Deficiency with Plan of Correction	12/21/2017	145	No
ACLS Annual, Complaint, and Follow-up	Statement of Deficiency	12/21/2017	144	No
ACLS Annual, Complaint, and Follow-up	Statement of Deficiency	6/15/2015	18	No
Constr Biennial Follow-up	No Deficiencies Cited	4/16/2019	0	No
Constr Biennial Follow-up	Statement of Deficiency	11/29/2018	6	No
Constr Biennial Follow-up	Statement of Deficiency with Plan of Correction	9/26/2018	8	No
Constr Biennial Follow-up	Statement of Deficiency	9/26/2018	8	No
Constr Biennial	Statement of Deficiency with Plan of Correction	6/20/2018	15	No
Constr Biennial	Statement of Deficiency	6/20/2018	14	No
Constr Biennial Follow-up	No Deficiencies Cited	1/19/2017	0	No
Constr Biennial Follow-up	Statement of Deficiency with Plan of Correction	10/27/2016	2	No
Constr Biennial Follow-up	Statement of Deficiency	10/27/2016	2	No
Constr Biennial Follow-up	Statement of Deficiency with Plan of Correction	8/9/2016	6	No
Constr Biennial Follow-up	Statement of Deficiency	8/9/2016	6	No
Constr Biennial	Statement of Deficiency with Plan of Correction	6/16/2016	11	No
Constr Biennial	Statement of Deficiency	6/16/2016	11	No

Star Rating

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
	(1)	71.25	10/6/2023	11.25	0	Follow-up	View Worksheet
(ZERO STARS)	(0)	60	4/17/2023	0	26.5	Complaint	View Worksheet
	(2)	86.5	2/28/2023	5.5	19	Annual	View Worksheet
	(3)	97.5	4/22/2020	3.5	6	Annual	View Worksheet
(ZERO STARS)	(0)	35.75	4/22/2020	10	0	Follow-up	View Worksheet
(ZERO STARS)	(0)	25.75	2/25/2020	5	16.5	Follow-up	View Worksheet
(ZERO STARS)	(0)	37.25	1/24/2020	26.25	10.5	Follow-up	View Worksheet
(ZERO STARS)	(0)	21.5	5/7/2019	5.5	84	Annual	View Worksheet
	(1)	72.5	6/26/2018	12.5	0	Follow-up	View Worksheet
(ZERO STARS)	(0)	60	3/20/2018	3.5	43.5	Annual	View Worksheet
	(4)	101.5	7/16/2015	3.5	2	Annual	View Worksheet
	(3)	103.5	5/22/2014	5.5	2	Annual	View Worksheet
	(3)	99.5	4/24/2013	5.5	6	Annual	View Worksheet
	(3)	101.25	4/24/2013	1.25	0	Follow-up	View Worksheet
	(3)	100	4/24/2013	0	3.5	Complaint	View Worksheet
	(4)	103.5	8/7/2012	5.5	2	Annual	View Worksheet
	(4)	105.5	6/7/2011	5.5	0	Annual	View Worksheet
	(3)	101.5	1/29/2010	3.5	2	Annual	View Worksheet