High Point Village

The October 2025 inspection identified multiple fire and life safety violations across various systems including missing emergency responder radio testing documentation, electrical hazards (open junction boxes, unapproved adapters), blocked emergency exits in memory care, locked fire extinguishers without staff access, and missing emergency lighting testing records. The facility demonstrated a good response by correcting most violations during or shortly after re-inspection, including removing unapproved electrical devices, clearing blocked exits, and addressing storage issues blocking electrical panels. However, some documentation gaps remained unresolved (hood cleaning report provided was a bill rather than inspection report, annual battery backup testing records not provided), resulting in continued disapproval status. The December 2025 follow-up inspection confirmed all previous violations were corrected, demonstrating sustained compliance efforts.

This inspection identified multiple severe life-safety violations including blocked emergency exits in the memory care unit, inaccessible locked fire extinguishers without staff access, missing emergency lighting in critical electrical rooms, and lack of required testing documentation for emergency systems. The facility corrected several violations during the inspection (open electrical boxes, fire door operation, extinguisher mounting) demonstrating some responsiveness, but critical issues remained unresolved including the blocked courtyard exit with a rock, locked fire extinguishers in memory care where only two administrators held keys, and missing annual testing records for emergency responder radio and battery backup systems. The disapproval status and required re-inspection within 30 days reflects serious systemic deficiencies in both fire safety infrastructure and compliance documentation, with particular concern for vulnerable memory care residents facing potential egress barriers during emergencies.

The facility had two uncorrected repeat violations from a March 2025 inspection: four residents failed to keep controlled medications locked (risking medication access by other residents) and one staff member with positive TB test did not obtain/follow healthcare provider recommendations (exposing 68 residents to contagious illness). The facility's response was inadequate, as both deficiencies remained uncorrected at the May follow-up visit, resulting in $700 in civil fines. The repeat nature of these violations and failure to implement effective corrective actions demonstrates a pattern of non-compliance with significant resident safety implications.

High Point Village had multiple fire safety violations including missing sprinkler installation under a 4-foot balcony, damaged/painted/loaded sprinkler heads, fire doors with penetrations and excessive gaps, missing documentation for required safety system inspections, and incomplete fire drill records. The facility demonstrated a good response by correcting 14 of 16 violations between the initial May inspection and August re-inspection, with only the sprinkler installation remaining incomplete (extension granted) and one documentation issue persisting. By the September inspection, all violations were fully corrected, showing systematic remediation despite the initial scope of deficiencies.

A resident pulled a fire alarm manual pull station off the wall, triggering the alarm and fire department response. No actual fire occurred, sprinklers were not activated, and no evacuation or injuries resulted. The facility immediately addressed the issue, confirmed all systems were functioning properly, and is working to reinforce the pull station to prevent recurrence. The inspector found no IFC violations during the complaint investigation.

Initial inspection on 5/21/2024 found severe and systemic fire safety violations including painted/damaged sprinkler heads, fire doors with penetrations and excessive gaps, missing sprinkler maintenance documentation, obstructed sprinklers, incomplete fire drills, and missing smoke detector sensitivity testing - creating substantial life-safety risks in a residential care facility. Follow-up re-inspection on 8/21/2024 showed the facility corrected most violations but still lacked smoke detector sensitivity documentation and needed additional time for sprinkler installation. The facility demonstrated moderate response by addressing many issues but the pattern of widespread initial violations across critical fire protection systems, combined with incomplete documentation practices, indicates systemic compliance deficiencies that required regulatory intervention to correct.

The facility temporarily took its sprinkler system offline on July 18, 2024 to address a deficiency found during annual inspection, specifically to install sprinklers under a second-floor balcony/patio area. The facility implemented an appropriate fire watch during the system downtime to maintain resident safety. The State Fire Marshal's investigation found no current violations, indicating proper interim safety measures were in place during the planned system upgrade.

A broken water pipe during cold weather disabled the facility's fire sprinkler system, creating a severe life-safety vulnerability for residents. The facility responded appropriately by immediately implementing a continuous fire watch, contacting a plumber for repairs, and coordinating with the fire marshal. While no violations were cited due to the proactive response, the temporary loss of fire protection in an occupied residential care facility represents a serious safety concern until the system is restored and tested. The facility demonstrated good emergency protocols but the incident itself posed significant risk to residents during the outage period.

A complaint was filed regarding the fire alarm system being placed in test mode during annual inspection work at High Point Village. The facility appropriately implemented a fire watch while the alarm system was in test mode and had portable heaters in a resident room for bed bug treatment. The facility's response was appropriate with proper safety protocols in place, and the state fire marshal found no deficiencies during the inspection.

The April 2023 inspection identified 16 violations at High Point Village, primarily related to fire safety documentation gaps (missing records for hood cleaning, sprinkler testing, fire/smoke damper testing, CO detector testing, and generator servicing) and multiple code compliance issues (improper electrical adapters/cords, non-functioning fire doors, missing CO alarms in laundry, obstructed fire extinguisher, and fire alarm breaker lacking lockout). The facility demonstrated a good response by correcting all violations within two months, as confirmed by the June 2023 follow-up inspection showing full compliance. While the violations represented systemic documentation and maintenance gaps across fire safety systems, none posed immediate life-threatening conditions, and the facility's timely comprehensive remediation demonstrated commitment to regulatory compliance.

A complaint was filed regarding the facility placing its fire alarm system in test mode during heat treatment for bed bugs in three apartments. The facility proactively conducted a fire watch during treatment and relocated affected residents, demonstrating appropriate safety protocols. The State Fire Marshal investigation found all systems normal with no violations cited, confirming the facility's response was adequate and compliant with safety requirements. No fire, injuries, or emergency response occurred during the incident.