Brookdale Chapel Hill

The facility failed to administer medications as ordered for one resident, specifically regarding a Symbicort inhaler and a medication for constipation. Review of records and medication on hand indicated that the prescribed dosage and frequency were not consistently maintained in accordance with physician orders.

The facility failed to administer medications as ordered for one resident. Specifically, a review of physician orders and the electronic medication administration record revealed that a Symbicort inhaler and a medication for constipation were not being administered according to the prescribed instructions.

The facility failed to maintain an environment free from hazards by leaving unsecured oxygen cylinders on the floor in multiple resident rooms (D5, C8, and B2). According to NFPA guidance, compressed oxygen cylinders must be secured in a rack or stand to prevent tipping over.

The facility failed to provide an environment free from hazards related to unsecured oxygen cylinders in residents' rooms. Specifically, medium oxygen cylinders were observed stored without racks or stands, creating a risk of tipping, leaking, or explosion.

The facility failed to ensure that a medication aide had successfully completed the required state-approved 5-hour, 10-hour, or 15-hour medication aide training course. Personnel records for one sampled staff member showed no documentation of the 5-hour training completion despite the staff member administering medications to residents.

The facility failed to administer medications as ordered for several residents during medication passes. Specifically, errors were noted regarding cholesterol-lowering medication, vitamin supplements, and an as-needed rectal medication for seizures, resulting in a 7% medication error rate.

The facility failed to ensure that staff members authorized to administer medications had successfully completed the required state-approved medication aide training courses. Specifically, one sampled staff member was found to have no documentation of completing the required 5-hour MA training despite administering medications over several months.

The facility failed to ensure physician orders for the application and removal of TED stockings were implemented for a resident. Specifically, staff were unable to locate the stockings, and multiple observations confirmed the resident was not wearing the required compression stockings during scheduled times.

The facility failed to ensure physician orders were implemented and documented for a resident regarding the application and removal of TED stockings. Specifically, nursing notes indicated the resident was not wearing the stockings on certain dates, and there was no documentation of refusals to support the lack of implementation.