Burlington Care Center

The facility failed to administer medications as ordered for two residents, specifically regarding blood sugar regulation and antipsychotic medication. For Resident #1, the facility documented the administration of Januvia on the MAR despite the medication being unavailable due to a pending insurance prior authorization.

The facility failed to administer medications as ordered for 2 of 3 sampled residents. Specifically, medications used to regulate blood sugar and an antipsychotic were not administered according to physician orders.

The facility failed to implement and maintain recommendations from the CDC and NC DHHS to protect residents during the COVID-19 pandemic. Specifically, the facility failed to ensure appropriate use of face masks by staff and failed to properly screen staff, visitors, and residents.

The facility failed to implement CDC and NCDHHS guidance regarding COVID-19 protections for 12 residents. Specifically, the facility did not ensure appropriate use of face masks by staff as a source control measure and failed to properly screen staff, visitors, and residents for symptoms or exposure.

The facility failed to ensure living room furnishings were clean and in good repair. Observations revealed an amber sofa with a hole and worn edges, leather furniture that was peeling and scratched, and a loveseat with a disconnected seat cushion. Additionally, a wooden coffee table was found with scratches on the top surface.

The facility failed to ensure that medication orders and treatments were maintained in the residents' records for 2 of 3 sampled residents. Specifically, for Resident #3, several medications listed on the FL-2 were not listed on the Medication Administration Record (MAR), and there were no orders to discontinue them despite no medications being available on hand.

The facility failed to provide a complete non-disposable place setting, including knives and forks, for all residents during meal service. Staff admitted to withholding utensils to prevent residents from taking them to their rooms, despite having an adequate supply available in the kitchen.