Alpha Concord of Greensboro

The facility failed to ensure health care follow-up was completed for 2 of 5 sampled residents. Specifically, for Resident #3, the facility did not implement physician orders from a May 22, 2024, visit to change a leg dressing daily with soap and water, as evidenced by discrepancies between the physician's instructions and the medication administration record.

The facility failed to implement physician orders for wound care and failed to monitor a resident's skin condition. Specifically, a resident's instruction for daily dressing changes to a right leg wound was not documented in the eMAR or performed, and staff failed to notice or assess the resident's skin breakdown.

The facility failed to administer medications as ordered for 3 of 5 sampled residents. Specifically, errors were noted regarding orders for eye drops, anti-anxiety/antipsychotic/antibiotic medications, and a steroid taper.

The facility failed to administer medications as ordered for 3 out of 5 sampled residents. Specifically, errors included failure to administer prescribed eye drops, anti-anxiety medication, an antipsychotic, an antibiotic, and a steroid taper order.

The facility failed to ensure physician notification for medication refusals for Resident #5. Specifically, the facility did not notify the physician regarding multiple refusals of medications including an anti-seizure medication, an antipsychotic, a non-steroidal anti-inflammatory medication, a multivitamin, and a dietary supplement.

The facility failed to maintain a North Carolina Division of Environmental Health sanitation score of 85 or above. Inspections dated 01/07/20 and 04/04/19 both revealed a score of 84, with various demerits related to cleanliness, repairs, and equipment maintenance.

The facility failed to ensure that one of six sampled staff members was tested for tuberculosis disease upon hire. Personnel records showed no documentation of a TB skin test administered prior to employment or after the employee transitioned to full-time status in August 2017.

The facility failed to maintain clean walls, ceilings, and floors in a common bathroom on the 300 hall. Specifically, black mildew was observed on the shower tile grout and the floor around the base of the toilet. Residents and staff confirmed that the mildew had been present for months.