Cadence Huntersville

The facility failed to maintain the environment in an uncluttered and hazard-free manner. Specifically, three oxygen tanks were found stored in a free-standing, unsecured manner without proper stands or storage racks in resident rooms.

The facility failed to maintain a safe environment by allowing three oxygen tanks to be stored in an unsecured, free-standing manner without proper stands or racks. Additionally, a resident's room was found with two unsecured, full oxygen tanks lacking gauges, and there was no warning sign on the door indicating oxygen use.

The facility failed to ensure a resident received appropriate medical follow-up for a significant change in status. Specifically, the facility did not ensure a physician was notified when a resident presented with a swollen, red, and hot right hand and arm, which subsequently led to a hospital admission for cellulitis and erysipelas.

The facility failed to ensure a resident received appropriate medical follow-up for a swollen hand and arm. Specifically, the resident was not seen by a physician despite visible swelling, redness, and heat, and the facility failed to complete required accident/incident reports for the period of the injury.

The facility failed to ensure that 4 out of 6 sampled staff members were competency validated for Licensed Health Professional Support (LHPS) tasks. Personnel records for agency and permanent staff lacked documentation of required competency validations, and the facility failed to maintain a roster or individual records for these validations.

The facility failed to assure referral and follow-up to meet the routine and acute health care needs of residents.

The facility failed to ensure that 4 out of 6 sampled staff members were competency validated for Licensed Health Professional Support (LHPS) tasks. Specifically, personnel records for Staff A, D, and F lacked documentation of required competency validation, and the requested documentation was not provided by the Business Office Manager prior to the survey exit.

The facility failed to ensure that 2 of 4 sampled staff members were competency validated for Licensed Health Professional Support (LHPS) tasks, specifically regarding oxygen administration and monitoring. Records for agency medication aides showed no documentation of competency validation and no facility staff records. Consequently, staff were unaware of resident needs, such as a resident not receiving continuous oxygen following a power outage.

The facility failed to ensure that 2 of 4 sampled staff members were competency validated for Licensed Health Professional Support (LHPS) tasks, specifically oxygen administration and monitoring. One sampled medication aide hired through an agency lacked both a staff record and documentation of competency validation.