Angels at Heart Assisted Living

The facility failed to administer medications as ordered for one resident who had orders for sliding scale insulin (SSI). Specifically, the facility failed to follow physician orders for Humalog administration based on finger stick blood sugar readings.

The facility failed to administer medications as ordered for one resident who had orders for sliding scale insulin (SSI). Specifically, the facility did not follow the physician's orders for Humalog insulin administration based on finger stick blood sugar readings.

The facility failed to implement and maintain CDC and NC DHHS guidance to protect residents during the COVID-19 pandemic. Specifically, the facility lacked updated infection control policies, failed to ensure proper masking and social distancing, and did not have a specific plan for managing potential outbreaks or monitoring symptoms for visitors and staff.

The facility failed to implement and maintain CDC and NC DHHS guidance to protect residents during the COVID-19 pandemic. Specifically, the facility failed to ensure proper screening of visitors, staff, and residents, as well as failure to maintain practices regarding PPE use, social distancing, and disinfection of shared equipment.

The facility failed to ensure that medication administration was documented accurately. Specifically, there was an instance where a resident's medication administration record did not reflect the actual administration of prescribed medication.

The facility failed to maintain accurate medication records. Documentation was missing or incomplete for certain medication doses, preventing verification of whether the resident received the required treatment.

The facility failed to identify appropriate reasons for issuing a discharge notice to one resident. Specifically, the discharge notice for Resident #2 failed to provide the name, address, or location of the facility where the resident would be discharged.

The facility failed to keep the common bathroom shower clean and in good repair, as evidenced by the presence of drain fly larvae and dirt. Observations revealed small black worms emerging from the shower drain in the bathroom near room #102, a condition residents reported had persisted since April 2018.

The facility failed to maintain clean walls, ceilings, and floors in the residents' common bathroom. Specifically, the shower drain in the common bathroom was found to contain dirt and drain fly larvae (worms). Residents reported that the worms had been present in the shower since April 2018.