B & B Assisted Living # 7

The facility failed to follow proper medication administration recording procedures by engaging in pre-charting. Specifically, staff documented medications as administered on the Medication Administration Record (MAR) prior to actually administering the medication and observing the resident taking it.

The facility failed to record medication administration on the Medication Administration Record (MAR) immediately following administration. Record reviews for 3 of 3 sampled residents evidenced the use of prohibited pre-charting for various medications.

The facility failed to maintain walls, ceilings, and floors in a clean and good state of repair. Specific issues included darkened paint, scrapes, chipped wood, rotted door frames, rust on vents, and liquid stains in resident rooms, bathrooms, hallways, and common areas.

The facility failed to maintain walls, ceilings, and floors in a clean and good state of repair across multiple areas including resident rooms, bathrooms, and common areas. Specific issues included darkened paint, scrapes, chipped wood, rust on vents, and liquid stains on walls and ceilings.

The document indicates the start of a deficiency regarding housekeeping and furnishings under regulation 10A NCAC 13G .0315(a)(3), though the specific findings for this tag were truncated in the provided text.

The facility failed to maintain walls, ceilings, and floors in a clean and good state of repair. Specific issues included darkened paint, chipped wood and paint, rust on door frames and vents, and various liquid stains and dust accumulation in resident rooms, bathrooms, and common areas.

The facility failed to maintain walls, ceilings, and floors in a clean and good repair. Specific issues included black scuff marks and peeling paint in common bathrooms, hallways, and the dining room, as well as scratches and peeling paint in a resident room.

The facility failed to ensure medications were administered according to physician orders for two residents regarding Coumadin therapy. Specifically, one-time doses of 12.5 mg and 10 mg were not administered as prescribed, and the facility failed to communicate these changes to the contract pharmacy.