NC DHSR ACLS: Inspections, Ratings and Penalties

Facility Information

License Number:	HAL-051-070
Site Address:	101 Annie Parker Circle Smithfield, NC 27577
County:	Johnston
Capacity:	12 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	No Deficiencies Cited	12/13/2023		No
ACLS Annual and Follow-up	Statement of Deficiency	10/6/2023	48	No
ACLS Complaint	Statement of Deficiency with Plan of Correction	6/15/2023	54	No
ACLS Complaint	Statement of Deficiency	6/15/2023	53	No
ACLS Follow-up	No Deficiencies Cited	3/2/2021		No
Other	Statement of Deficiency	9/17/2020	28	Yes
Other	Statement of Deficiency with Plan of Correction	9/17/2020	28	No
Other	Statement of Deficiency with Plan of Correction	9/17/2020	28	No
ACLS Follow-up	Statement of Deficiency with Plan of Correction	1/23/2020	11	No
ACLS Follow-up	Statement of Deficiency	1/23/2020	11	No
ACLS Follow-up	Statement of Deficiency	10/30/2019	33	No
ACLS Follow-up	Statement of Deficiency	7/24/2019	62	No
ACLS Follow-up	Statement of Deficiency	4/11/2019	64	No
ACLS Annual and Follow-up	Statement of Deficiency	4/11/2019	64	No
ACLS Annual	Statement of Deficiency with Plan of Correction	8/30/2018	20	No
ACLS Annual	Statement of Deficiency	8/30/2018	20	No
ACLS Annual	No Deficiencies Cited	7/28/2015		No
Constr Biennial Follow-up	No Deficiencies Cited	12/14/2018	0	No
Constr Biennial	Statement of Deficiency with Plan of Correction	10/24/2018	2	No
Constr Biennial	Statement of Deficiency	10/24/2018	2	No
Constr Biennial Follow-up	No Deficiencies Cited	1/12/2017	0	No
Constr Biennial	Statement of Deficiency with Plan of Correction	12/7/2016	2	No
Constr Biennial	Statement of Deficiency	12/7/2016	2	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
(ZERO STARS)	(0)	49.5	1/5/2024	7.5	0	Follow-up	View Worksheet
(ZERO STARS)	(0)	42	11/17/2023	5	9.5	Follow-up	View Worksheet
(ZERO STARS)	(0)	46.5	7/27/2023	0	16	Complaint	View Worksheet
(ZERO STARS)	(0)	62.5	5/26/2020	11.25	2	Follow-up	View Worksheet
(ZERO STARS)	(0)	53.25	2/26/2020	0	20.5	Follow-up	View Worksheet
	(1)	73.75	1/31/2020	16.25	5.5	Follow-up	View Worksheet
(ZERO STARS)	(0)	63	7/3/2019	0	37	Annual	View Worksheet
	(3)	92.5	7/2/2019	5	0	Follow-up	View Worksheet
	(2)	87.5	2/6/2019	2.5	15	Annual	View Worksheet
	(4)	100	8/3/2015	0	0	Annual	View Worksheet
	(4)	100	6/6/2013	0	0	Annual	View Worksheet
	(3)	100	3/16/2012	0	0	Annual	View Worksheet
	(3)	98	8/20/2010	0	2	Annual	View Worksheet
	(3)	100	10/22/2009	0	0	Annual	View Worksheet