Charlotte ObserverCharlotte Observer
Khadejeh Nikouyeh/Knikouyeh@charlotteobserver.com

A short-staffed nursing home in Thomasville put its residents in immediate jeopardy when it failed to create an emergency plan, leaving just three people to take care of 98 residents during a January storm.

Police were called to Pine Ridge Health and Rehabilitation Center after a resident complained of not having seen staff members for a long period of time.

Two residents were dead and two others were in critical condition when police officers arrived at the nursing home.

The inspection report describes a chaotic scene at the nursing home that day, with residents without food and needed medication, an exhausted nurse aide, and patients wandering in the dementia unit.

According to the state Department of Health and Human Services report, a police officer said that the nurse on duty almost broke down into tears because she had been working for 16 hours.

The nurse told the officer that the situation was one of the worst she had ever seen.

The report said that the officer said that there were five or six call lights on in the hallway, some rooms smelled of urine and feces, and others had garbage on the floors.

Residents had not received food or medication that day, and one officer found them crying.

The police officer asked the nurse if the residents had been fed and she said they had not had lunch or dinner.

Pine Ridge Health said in a statement that it experienced a perfect storm of challenges that night due to the weather, a surge in COVID-19 cases and an increased reliance on contract agency staff.

The statement said that they take the state's concerns very seriously and are responding to areas identified by regulators.

The causes of death for the two deceased residents were not specified in the report. Pine Ridge Health said the deaths were medically unrelated to any staffing issues caused by the storm. The families of residents who died were notified at the time of their deaths.

The report noted that Gov. Cooper had declared a state of emergency in North Carolina because of the predicted winter storm. The report concluded that the nursing home failed to plan for the weather and was badly understaffed.

On Tuesday, Emery Milliken, deputy director of N.C. Division of Health Services Regulation, said that the nursing home had extra pay for workers to sleep over during storms, but Pine Ridge Health leaders never told staff of that perk.

Milliken told the committee that Pine Ridge Health usually has 13 to 15 staff on site.

Many residents depend on staff to stay clean.

The most vulnerable population, according to Sen. Steve Jarvis, was my mother. What if that was your mother?

The administrator told investigators that the staff that was supposed to arrive on the morning of January 16 didn't show up.

The director of nursing said she had called staff to come to work, but some didn't answer their phones and others couldn't make it because of poor road conditions.

The nursing director said that the facility had been short staffed since the summer and that an administrator had never addressed the problem.

Pine Ridge Health had a chaotic January night. The administrators told investigators that the home was staffed.

The nursing home's administrator and director of nursing no longer work there, according to the inspection report.

The most serious violations at the nursing home left patients at risk for serious harm or death. There were five less severe violations.

According to the state report, the nursing home acknowledged the problems and has taken steps to bring it back into compliance.

Milliken told the committee that the home has not corrected some of the less severe problems.

The Centers for Medicare and Medicaid Services stopped funding new admissions at Pine Ridge Health because of that. The federal agency is assessing monetary fines until the nursing home is in compliance.

Information from a joint legislative committee hearing was included in the story.

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