Brookdale Asheboro

The facility failed to ensure water was served to each resident at each meal in addition to other beverages. Observations during lunch and breakfast services showed that while other drinks like soda, juice, and milk were provided, water was not consistently offered or served to residents unless specifically requested.

The facility failed to administer medications as ordered for 2 of 5 sampled residents. Specifically, Resident #3 did not receive prescribed trazodone from 06/16/23 through 06/25/23 due to undocumented pharmacy issues, and Resident #5 did not receive a prescribed supplement.

The facility failed to administer medications as ordered for two residents. Specifically, Resident #3 did not receive their scheduled nightly dose of trazodone from June 16, 2023, through June 25, 2023, because the medication was not refilled. Staff failed to identify that the medication required a new prescription and did not notify the nursing director or pharmacy of the shortage.

The facility failed to ensure a care plan was developed for 2 of 5 sampled residents within 30 days of admission. Specifically, Resident #3 was admitted on 04/16/21, but no documented care plan was completed prior to 06/30/21.

The facility failed to ensure that resident care plans were developed within 30 days of admission for two residents. Additionally, the care plans for Resident #3 and Resident #5 were not signed by a physician as required by regulation.

The facility failed to ensure a care plan was developed for 2 of 5 sampled residents within 30 days of admission. Specifically, for Resident #3, no documented care plan was completed between the admission date of 04/16/21 and 06/30/21.

The facility failed to ensure that nectar-thickened liquids were prepared and served as ordered by the physician for one resident. Specifically, during dinner observations, the resident was served regular consistency coffee and water instead of the required nectar-thickened consistency. Staff reported using an inconsistent method of thickening liquids without proper training.

The facility failed to ensure that nectar-thickened liquids were prepared and served as ordered by the physician for one resident. Observations and interviews revealed staff were using incorrect amounts of powdered thickener and were unaware of how to properly thicken liquids or follow container instructions. Additionally, staff failed to thicken milk in cereal as required.