Alamance House

The facility failed to maintain required staffing levels to meet the needs of residents. Specifically, for a census of 21 residents, the facility must provide at least 16 hours of aide duty on the first and second shifts.

The facility failed to meet the minimum required aide hours to meet the needs of residents in the Assisted Living unit for 15 of 27 sampled shifts between 01/10/26 and 01/18/26. This was a follow-up to a previous Type B violation that had not been abated.

The facility failed to maintain a safe and orderly environment by storing furniture, including stacked mattresses, bed rails, and headboards, in a resident's room. Additionally, unsecured oxygen tanks were found in a resident's room and storage area, and lamps without shades were left on bathroom sinks due to non-functional overhead lighting.

The facility failed to maintain a safe environment by storing furniture, including stacked mattresses, bed rails, headboards, a recliner, and side tables, in an occupied resident's room. Additionally, unsecured oxygen tanks were found on the floor and lamps were left without lampshades due to non-functional overhead lighting.

The facility failed to ensure medications were administered as ordered for 3 of 5 residents, specifically involving a nasal spray, insulin, and a supplement. For Resident #2, records showed inconsistent administration of fluticasone nasal spray and a failure to reorder the medication in a timely manner, leading to a lack of medication on hand.

The facility failed to ensure medications were administered as ordered for 3 of 5 residents, specifically involving a nasal spray, insulin, and a supplement. For Resident #2, records showed a missed dose of fluticasone nasal spray on 10/07/24 despite an active physician order.

The facility failed to ensure therapeutic diets were served as ordered for 2 of 3 sampled residents with pureed diet orders. Specifically, a resident ordered a pureed diet was served whole pieces of corn and chopped collard greens instead of the required pureed consistency. Staff also demonstrated a lack of knowledge regarding the specific food requirements for pureed therapeutic diets.

The facility failed to ensure therapeutic diets were served as ordered for 2 of 3 sampled residents with pureed diet orders. Specifically, Resident #6 was served whole pieces of corn and chopped collard greens instead of the required pureed consistency. Additionally, the facility failed to ensure all dietary needs were met according to physician orders for residents requiring texture-modified diets.