Brookdale Weddington Park

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, metoprolol tartrate was administered on four separate occasions despite the resident's heart rate being documented below the required threshold of 60 beats per minute.

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, metoprolol tartrate was administered on multiple occasions despite the resident's heart rate being below the ordered hold parameter of 60 beats per minute.

The facility failed to ensure necessary referral and follow-up for a resident who required a dermatology visit for a scalp lesion. There was no documentation of the referral being completed, no physician orders for wound dressing, and no documentation of the lesion in the resident's care notes.

The facility failed to ensure proper referral and follow-up for a resident who required a dermatology visit for a scalp lesion. There was no documentation of the referral occurring, no physician orders for wound dressing, and no documentation of the lesion in the resident's care notes.

The facility failed to provide supervision according to the assessed needs of a resident with a history of repeated falls, injuries, and ER visits. Specifically, the resident's care plan and interventions were not effectively implemented to prevent falls despite documented high-risk status.

The facility failed to provide supervision according to the assessed needs of a resident with a history of repeated falls, injuries, and fractures. Specifically, for a resident who was bedbound and required two-person transfers, there were multiple documented falls in 2022 where no specific interventions were implemented to address the high risk of injury.

The facility failed to ensure that therapeutic diets, including texture-modified diets, were served as ordered by the resident's physician. Specifically, a resident with dysphagia was served cucumber salad and a baked potato with the peel and without gravy, which did not comply with the required mechanical soft diet specifications. Staff members reported a lack of access to therapeutic diet menus and inconsistent adherence to dietary modification guidelines.

The facility failed to ensure that therapeutic diets, specifically texture-modified diets, were served as ordered by the resident's physician. During a lunch service observation, a medication aide served a resident with dysphagia a regular diet item (cucumber salad) and failed to provide the required modified components such as gravy and peeled potatoes. This resulted in the resident receiving food textures that did not comply with their prescribed mechanical soft diet.