Austin Adult Care

The facility failed to provide a safe and orderly discharge for four sampled residents. Specifically, the facility discharged a resident to a hotel where their needs could not be met, failed to coordinate transportation for a resident, and failed to notify mental health providers regarding discharges for residents receiving services.

The facility failed to provide a safe and orderly discharge for four sampled residents. Specifically, the facility discharged a resident to a hotel where their needs could not be met, failed to coordinate transportation for a resident, and failed to notify mental health providers regarding a resident's discharge.

The facility failed to provide a safe and orderly discharge for four sampled residents. Specifically, the facility discharged a resident to a hotel where their needs could not be met, failed to coordinate transportation for a resident, and failed to notify mental health providers regarding a resident's discharge.

The facility failed to ensure that one of four sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) upon hire. The Administrator in Training admitted to not completing a new HCPR check because the employee had previously been cleared at a different facility.

The facility failed to ensure that one of four sampled staff members had a criminal background check completed upon hire. Records showed the staff member's last statewide criminal background check was performed in 2016, which predated their 2018 hire date at this facility.

The facility failed to ensure that one of four sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) upon hire. The Administrator in Training admitted to not completing a new HCPR check because the employee had previously been checked at a different facility.

The facility failed to ensure that one of four sampled staff members had a criminal background check completed upon hire. Records showed the staff member's last statewide criminal background check was performed in 2016, which predated their 2018 hire date at this facility.

The facility failed to ensure proper referral and follow-up for a resident experiencing frequent medication refusals. Specifically, the facility did not adequately address the repeated refusal of DDAVP Nasal Spray, as evidenced by medication records showing high refusal rates and an overstock of unused medication. While staff reported notifying the physician after three consecutive days of refusal, the facility failed to demonstrate effective follow-up to meet the resident's health care needs.

The facility failed to ensure proper referral and follow-up for a resident experiencing frequent medication refusals. Specifically, the facility did not document notifications to the resident's primary care provider regarding the refusal of DDAVP Nasal Spray, and the resident's physician was unaware of the issue.

The facility failed to ensure proper referral and follow-up for a resident experiencing frequent medication refusals. Specifically, records showed a resident refused DDAVP Nasal Spray for numerous days across several months, yet the facility did not demonstrate adequate follow-up with the primary care provider to address the pattern of refusal.