Avendelle Assisted Living at Rolesville

The facility failed to notify the primary care provider of missed doses of medications, including seizure and anti-anxiety medications, for a resident. Specifically, the facility failed to administer levetiracetam for six occurrences during March 2021 due to issues such as medication unavailability and pending refills. The facility's medication error policy lacked a specific requirement for when the primary care provider must be notified following missed doses.

The facility failed to implement and document physician orders for weekly blood pressure checks for a resident. The required order was not transcribed onto the electronic Medication Administration Records (eMAR), and staff were unaware of the requirement.

The facility failed to ensure that physician-ordered blood pressure checks were implemented for a resident. The weekly order was not transcribed onto the electronic Medication Administration Record (eMAR), and staff were unaware of the requirement.

The facility failed to maintain the resident's right to respect and dignity. A staff member was observed speaking to a resident in a loud, unkind, and disrespectful manner during an argument regarding a catheter bag.