Average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Huntersville Oaks during CMS and state inspections, most recent first.
A facility staff member failed to disinfect a shared glucometer between uses on two residents, contrary to the manufacturer's instructions. This breach in infection control protocols occurred despite prior staff education on proper disinfection procedures, potentially exposing residents to bloodborne infections.
A resident in an LTC facility was subjected to continuous video and audio monitoring without written consent, compromising his dignity. The resident, who was cognitively intact, expressed discomfort with the device, which was used for fall prevention. Staff interviews revealed uncertainty about privacy features, and the facility's administration was unaware of the resident's discomfort.
A facility failed to obtain written consent for a video and audio monitoring device in a resident's room. The resident, who was cognitively intact, was aware of the device but did not consent to its use. The device was used to prevent falls and was monitored offsite. Staff could request privacy mode, but the audio remained active. The facility's policy did not require consent, leading to a deficiency.
Failure to Disinfect Shared Glucometer
Penalty
Summary
The facility staff failed to adhere to the manufacturer's instructions for cleaning and disinfecting a shared glucometer between resident usage. This deficiency was observed during a survey when Nurse Aide #1 used a glucometer on two residents without disinfecting it according to the manufacturer's guidelines. The glucometer was used to check the blood sugar levels of two residents, Resident #58 and Resident #1, without proper cleaning in between uses, which is a breach of infection control protocols. The manufacturer's instructions clearly stated that the glucometer should be cleaned and disinfected after each use with an EPA-approved disinfectant. However, Nurse Aide #1 did not follow these instructions, as she was observed using the same glucometer on both residents without disinfecting it in between. This action potentially exposed residents to the spread of bloodborne infections, especially since there were two residents with a bloodborne pathogen in the facility at the time. Interviews with the Infection Preventionist and other medical staff confirmed that the facility had strict protocols for disinfecting glucometers, and staff had been educated on these procedures. Despite this, the failure to disinfect the glucometer as required was attributed to a mistake by Nurse Aide #1, who acknowledged her error and stated she was aware of the correct procedure. This incident highlighted a significant lapse in following infection control practices, which could have led to cross-contamination and the spread of infections among residents.
Removal Plan
- The Nursing Assistant was reeducated by the facility's Nurse Educator on the manufacturer's guidelines for cleaning and disinfecting blood glucose meters to include competency validation.
- 100% of the blood glucose meters were cleaned and disinfected based on manufacturer's guidelines by the Director of Nursing.
- Resident #58 and Resident #1 were evaluated by the Medical Director.
- Resident #58 and Resident #1's responsible parties were notified of the infection control breach and provided information regarding the Medical Director's evaluation.
- The facility's Pharmacy Consultant conducted a 100% audit of all residents who require blood sugar checks.
- The Nurse Educator reviewed the manufacturer's guidelines and facility's cleaning grid for cleaning and disinfecting blood glucose meters to ensure that the guidelines were accurate and did not require changes.
- The Nurse Educator provided education to all current nursing staff to follow the manufacturer's guidelines for cleaning and disinfection of blood glucose meters, for staff competency.
- Any current nursing staff who do not receive education will be required to complete education prior to working a scheduled shift.
- All nursing staff hired will be required to complete this training and education upon hire. The education will be required annually.
- The facility's Nursing Leadership team will complete competency validation to monitor for compliance of all nurses and nurse aides following the manufacturer's guidelines for cleaning and disinfecting blood glucose meters.
- All currently employed nurses and nurse aides will have the competency validation completed.
- Any employed nurses and nurse aides who have not received competency validation will receive competency validation prior to their next working shift.
- All nursing staff hired will be required to complete the competency validation upon hire.
- The facility Administrator notified the local Health Department regarding the infection control breach.
Resident Dignity Compromised by Unconsented Monitoring Device
Penalty
Summary
The facility failed to maintain a resident's dignity by continuously using a video and audio monitoring device in the room of a resident who was cognitively intact and did not consent to its use. The resident, who was admitted with diagnoses including type 2 diabetes mellitus, hypertension, and peripheral vascular disease, expressed discomfort with the device, stating it made him feel watched and restricted his speech. Despite being aware of the device, the resident did not provide written consent for its use, and the device was implemented as part of a fall prevention strategy without his approval. Observations revealed that the device was positioned in the resident's room, facing the bed, and was capable of two-way video and audio communication. The resident reported that the device would activate and remind him to sit down and call for help, which he found intrusive. He also mentioned that he was not informed about the privacy mode feature and felt compelled to monitor his behavior and speech due to the device's constant presence. Interviews with staff indicated that the video and audio monitoring devices had been in use for about two years, and staff could request privacy mode during care. However, there was uncertainty about the effectiveness of this privacy feature. The monitoring was conducted offsite by technicians who managed multiple feeds simultaneously, and the audio was never turned off. The Director of Nursing and the Administrator were unaware of the resident's discomfort with the device, highlighting a lack of communication and consent regarding its use in the resident's room.
Failure to Obtain Consent for Monitoring Device
Penalty
Summary
The facility failed to maintain privacy and obtain written consent for the use of a video and audio monitoring device in a resident's room. The deficiency was identified for a resident who was cognitively intact and required substantial assistance with transfers and walking. The resident was aware of the monitoring device but did not provide written consent for its use, and attempts to contact the resident's spouse for consent were unsuccessful. The facility's policy did not require written consent for the use of such devices, and the Director of Nursing and Administrator confirmed that consent was not obtained. The monitoring device was used to prevent falls, as the resident had a history of confusion and multiple falls. The device was capable of two-way video and audio communication and was monitored by technicians at an offsite location. The resident expressed discomfort with the device, stating that he felt he needed to watch what he said around it because it "had ears." The resident was not aware that he could request privacy mode, which would temporarily disable the video feed but not the audio. Staff interviews revealed that the monitoring devices had been in use for about two years, and staff could request privacy mode when providing care. However, the audio feed remained active, and the monitoring technicians could still hear conversations. The facility did not provide formal training on the use of the devices, and the monitoring was conducted by employees of a larger company, not by facility staff. The facility's failure to obtain written consent and adequately inform the resident about privacy options led to the deficiency.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Huntersville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Huntersville Health & Rehabilitation Center | 1.5 mi | ★★★★★ | 5 | 0 |
| Lakeside Health & Rehab Center | 2.3 mi | ★★★★★ | 15 | 0 |
| Autumn Care Of Cornelius | 5.5 mi | ★★★★★ | 2 | 0 |
| University Place Nursing And Rehabilitation Center | 7.4 mi | ★★★★★ | 2 | 0 |
| Rockwell Park Rehabilitation And Healthcare Center | 7.6 mi | — | 11 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.