Brookdale Union Park

The facility failed to ensure that a Licensed Health Professional Support (LHPS) assessment was completed quarterly for certain residents. Specifically, for two sampled residents, the assessment did not identify necessary tasks such as applying TED hose or checking finger stick blood sugars, and documentation of required evaluations was missing.

The facility failed to ensure that a Licensed Health Professional Support (LHPS) assessment was completed quarterly for two residents requiring specific medical tasks. Specifically, for one resident, the LHPS evaluation failed to identify the need for TED hose application and removal, and no subsequent evaluation had been documented since January 2021.

The facility failed to implement physician orders for 2 of 5 sampled residents. Specifically, the facility did not perform daily blood pressure checks for Resident #5 and failed to fax weekly weights to the physician for Resident #1.

The facility failed to assure necessary follow-up for a resident's health care needs. Specifically, the facility failed to follow up by faxing blood pressure logs every two weeks to the physician for one sampled resident.

The facility failed to ensure that one of six sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry. A review of the employee's personnel record showed a hire date of 09/11/15 but no documentation of a required HCPR check.

The facility failed to follow up on physician orders for one resident by not faxing blood pressure logs to the physician every two weeks as required. While blood pressure checks were documented, there was no documentation or staff initials confirming that the results had actually been faxed to the physician.

The facility failed to ensure that one of six sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry. Specifically, a housekeeper's personnel record lacked documentation of a required HCPR check prior to their hire date.

The facility failed to ensure that one of three staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry prior to hire. Specifically, there was no documentation of an HCPR check for a Personal Care Aide hired in April 2015.

The provided text identifies a regulatory requirement for staff to provide supervision in accordance with resident care plans, but the specific findings/evidence of non-compliance for this tag were not included in the provided document snippet.

The facility failed to provide adequate supervision regarding a resident's aggressive and inappropriate behaviors. Specifically, the facility did not effectively use the 24-hour shift report to communicate changes in the resident's status and behaviors to staff.

The facility failed to ensure that a staff member (Staff A) had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) prior to hire. The Business Office Coordinator did not perform the required check because they believed it was only necessary for staff administering medications.