Brookdale Chapel Hill AL (nc)

The facility failed to ensure that exit doors accessible by residents were equipped with a sounding device that activates when opened. This was specifically noted for a resident with dementia and disorientation, where the front door and a B-hall exit door lacked audible alarms.

The facility failed to ensure that Health Care Personnel Record (HCPR) checks were completed for all new hires. Specifically, an audit revealed that a background check had not been completed for a staff member at the time of hire.

The facility failed to ensure physician notification for a resident regarding the timely administration of an ophthalmic antibiotic. A review of medication records showed a significant delay in the administration of prescribed moxifloxacin eye drops following a change in physician orders.

The facility failed to ensure physician notification for a resident regarding the timely start of an ophthalmic antibiotic. Records for Resident #3 showed a diagnosis of a corneal ulcer and an order for moxifloxacin, but subsequent orders indicated a change in frequency that suggested a delay in the prescribed treatment regimen.

The facility failed to ensure that one of three sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry prior to hire. A review of the medication aide's personnel record showed no documentation that an HCPR check was completed before their hire date in April 2021.

The facility failed to implement a physician's order for supplemental oxygen for a resident with dementia. Specifically, the facility did not ensure the resident used oxygen when ambulatory, failed to maintain an adequate supply of portable oxygen, and did not report non-usage to the Primary Care Provider. Resident interviews indicated oxygen tanks were empty for several days, and staff failed to monitor oxygen saturation levels.

The facility failed to implement a physician's order for supplemental oxygen for a resident with dementia. Specifically, the facility did not ensure the resident wore oxygen when walking, failed to maintain an adequate supply of portable oxygen, and did not report non-usage of the ordered oxygen to the Primary Care Provider.