Brookdale Lexington

The facility failed to ensure that one of six sampled medication aides had a completed Clinical Skills Competency Validation Checklist prior to administering medications. While the staff member had completed required training and passed the written exam, there was no documentation of the required clinical skills validation on file.

The facility failed to provide supervision according to residents' assessed needs, resulting in a Type A2 violation. Two residents in the Special Care Unit eloped from the facility, and one resident was found outside the unit on her knees and required emergency department evaluation.

The facility failed to provide adequate supervision for residents in the Special Care Unit (SCU) according to their assessed needs. This resulted in two residents eloping from the facility and one resident being found outside the SCU on her knees, requiring emergency department evaluation.

The facility failed to ensure that water was offered to each resident during the lunch meal. An observation confirmed that water was not provided to all residents during the meal service.

The facility failed to maintain proper medication administration and availability for several residents. Specifically, there were issues with medication orders, entry into resident records and the eMAR, and the availability of necessary medications.

The facility failed to ensure that one of six sampled medication aides had completed the required 5, 10, or 15-hour medication aide training course. Records showed the staff member had passed the written exam and clinical skills validation but lacked documentation of the required training course completion.

The facility failed to ensure that one of six sampled medication aide staff members had completed the required 5, 10, or 15-hour medication aide training course. Personnel records showed the staff member had passed the written exam and clinical skills validation, but lacked documentation of the required training course. The Business Office Manager confirmed the training documentation was missing from the employee's record.

The facility failed to ensure medications were administered as ordered for 2 of 5 sampled residents. Specifically, medications for treating vaginal symptoms and a vitamin B12 supplement were not administered according to the physician's orders.

The facility failed to ensure medications were administered as ordered for 2 of 5 sampled residents. Specifically, there were discrepancies between physician orders and administration records regarding medications for menopause symptoms, a vitamin B12 supplement, and a medication used to improve urination.

The facility failed to ensure that one of five sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) upon hire. Specifically, for a staff member rehired on 11/06/18, there was no documentation that a new HCPR check had been completed at the time of re-employment.