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Source: NC Division of Health Service Regulation
The facility failed to ensure that a resident was not left alone in the building without a staff member. On December 23, 2025, the Administrator left the facility for approximately 7 minutes to retrieve records from a sister facility, leaving one resident unattended in the television room.
The facility failed to ensure that no resident was left alone in the facility without a staff member. During the survey, one resident was left alone in the television room after the Supervisor-in-Charge departed and before the Administrator could provide adequate coverage.
The facility failed to notify the Division of Health Service Regulation (DHSR) that a resident's evacuation capabilities had changed from those listed on the facility's license. During a fire drill, it was observed that one resident did not exit the facility, indicating a discrepancy in the documented evacuation capability for the 6 licensed ambulatory residents.
The facility failed to notify the Division of Health Service Regulation (DHSR) regarding changes in residents' evacuation capabilities. Specifically, one resident was identified during a fire drill as having evacuation capabilities that differed from the information listed on the facility's license.
The facility failed to ensure that the rights of two residents were free of exploitation. Evidence showed the Administrator was using a resident's UHC dual complete program funds for facility purchases and transactions.
The facility failed to ensure necessary medical follow-up and referrals for a resident. Specifically, there was no documentation that the resident attended a scheduled colonoscopy or a dermatology appointment despite physician orders for both.
The facility provided an addendum to the Plan of Correction following a telephone conversation on 10/07/22, noting a correction date of 10/02/22.
The facility provided an addendum to the Plan of Correction following a telephone conversation on 10/07/22, noting a correction date of 10/02/22.
The facility failed to provide documentation of a statewide criminal background check or consent for a background check for one of three sampled staff members. While the staff member and Administrator believed the check was completed, the required records were missing from the personnel file.
The facility failed to meet requirements regarding food and beverage availability for residents' diets. Specifically, the rule requires that appropriate snacks be offered or made available between each meal for a total of three snacks per day.
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