PRINTED: 12/19/2019

FORM APPROVED
Division of Health Service Regulation
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY
IDENTIFICATION NUMBER: COMPLETED
A. BUILDING: ______________________

110640 B. WING _____________________________

09/18/2019
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
130 SOUTH QUEEN STREET
LENOIR COUNTY JAIL
KINSTON, NC 28501
(X4) ID SUMMARY STATEMENT OF DEFICIENCIES ID PROVIDER'S PLAN OF CORRECTION (X5)
PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE
TAG REGULATORY OR LSC IDENTIFYING INFORMATION) TAG CROSS-REFERENCED TO THE APPROPRIATE DATE
DEFICIENCY)

J 000 Initial Comments J 000

Chris Wood, Chief Jail Inspector conducted the

investigation.

This death investigation was conducted as per

10A NCAC 14J JAILS, LOCAL
CONFINEMENT FACILITIES Rules. This building
was approved for use in 1983 under North
Carolina State Building Code (NCSBC) 1978
Edition with a facility expansion in 2013 under
NCSBC 2009 Edition with an occupancy
classification of Group I-3. The jail design
capacity is 289 male beds and 32 female beds
with a total design capacity of 321 beds. The
investigation began at 1:00 pm and concluded at
4:30 pm. On the day of inspection the weather
warm with clear conditions. Captain Daugherty
was present during the investigation.

A Report of Inmate Death was received by the

Construction Section on August 20, 2019. This
investigation was conducted in the death of
inmate Mason Quinn that occurred on August 30,
2019. A Report of Inmate Death dated August 20,
2019 indicated the inmate was found in distress
at 3:02 am on August 20, 2019. The reported
indicated the time of death was 4:00 am on
August 20, 2019 and the place of death was in
the jail. The report also indicated that the manner
of death was listed as suicide by hanging.

The deficiencies determined during the

investigation are as follows:

J 34 10A NCAC 14J .0601 (a) Supervision J 34

(a) Officers shall make supervision rounds and

directly observe each inmate in person at least
twice per hour on an irregular basis. The
supervision rounds shall be documented. If
Division of Health Service Regulation
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE

STATE FORM 6899

E39Z11 If continuation sheet 1 of 3

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
PRINTED: 12/19/2019
FORM APPROVED
(X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY
COMPLETED
A. BUILDING: ______________________

110640 B. WING _____________________________

09/18/2019
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
130 SOUTH QUEEN STREET
LENOIR COUNTY JAIL
KINSTON, NC 28501
(X4) ID SUMMARY STATEMENT OF DEFICIENCIES ID PROVIDER'S PLAN OF CORRECTION (X5)
PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE
TAG REGULATORY OR LSC IDENTIFYING INFORMATION) TAG CROSS-REFERENCED TO THE APPROPRIATE DATE
DEFICIENCY)

J 34 Continued From page 1 J 34

remote electronic monitoring is used to

supplement supervision, it shall not be
substituted for supervision rounds and direct
visual observation.
History Note: Authority G.S. 153A-221;
Eff. October 1, 1990;
Amended Eff. June 1, 1992.

This Rule is not met as evidenced by:

Based on staff interview and records review on
the morning of September 18, 2019 and
subsequent record review on a later date, the
facility did not make supervision rounds as
required by Rule.

Findings Include: Staff interview indicated the

following:
-The inmate was housed in D-Pod, cell D-201;
and
-The inmate was on a twice per hour direct
observation watch.

Record review of the documented supervision

rounds conducted from 6:00 am on August 18,
2019 through 5:59 am on August 20, 2019
indicated the following:
-The manually documented supervision record
identified as "Cell Checks and Suicide Checks"
was reviewed.

For August 18, 2019:

-There was only one documented supervision
round conducted during the 6:00 pm hour.
-There were excessive gaps between supervising
rounds. Several gaps were over one hour.
-It appears that Officers are using generic times
Division of Health Service Regulation
STATE FORM 6899
E39Z11 If continuation sheet 2 of 3

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
PRINTED: 12/19/2019
FORM APPROVED
(X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY
COMPLETED
A. BUILDING: ______________________

110640 B. WING _____________________________

09/18/2019
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
130 SOUTH QUEEN STREET
LENOIR COUNTY JAIL
KINSTON, NC 28501
(X4) ID SUMMARY STATEMENT OF DEFICIENCIES ID PROVIDER'S PLAN OF CORRECTION (X5)
PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE
TAG REGULATORY OR LSC IDENTIFYING INFORMATION) TAG CROSS-REFERENCED TO THE APPROPRIATE DATE
DEFICIENCY)

J 34 Continued From page 2 J 34

to document supervision rounds and not the

actual time of the supervision round.

For August 19, 2019:

-It appears that Officers are using generic times
to document supervision rounds and not the
actual time of the supervision round.

For August 20, 2019:

-There was only one documented supervision
round conducted during the 1:00 am and 5:00 am
hour.

Division of Health Service Regulation

STATE FORM 6899
E39Z11 If continuation sheet 3 of 3