Cadence North Raleigh

The facility failed to ensure adequate personal care and assistance for a resident requiring help with toileting. Review of call bell and bathroom alert logs showed multiple instances where staff response times were delayed by 29 minutes to as much as 107 minutes.

The facility failed to ensure adequate personal care and assistance for a resident requiring help with toileting. Records showed numerous instances where call bells and bathroom alerts were not responded to for extended periods, including a wait time of up to 107 minutes.

The facility failed to administer medications as ordered for 3 of 4 residents observed during medication passes, including errors with an antipsychotic, a topical medication, and medications for enlarged prostate and arthritis. Additionally, one resident's record review revealed a failure to properly administer medication used to treat pain, fever, and reduce heart attack risk. The medication error rate was found to be 14% during the survey.

The facility failed to administer medications as ordered for several residents, resulting in a 14% medication error rate. Specifically, staff administered an antipsychotic medication 44 minutes late for one resident and failed to follow orders for topical, prostate, and arthritis medications for others.

The facility failed to provide adequate supervision for a resident known to be forgetful and at high risk for falls. This lack of supervision resulted in multiple falls for the resident, including a closed head injury and extensive bruising and skin tears.

The facility failed to ensure that one of seven sampled staff members was properly tested for Tuberculosis (TB) disease upon hire. While a skin test and chest x-ray were documented, the results of the skin test were not recorded in the personnel file, and an interview revealed the test result was actually positive.

The facility failed to ensure one sampled staff member had a documented tuberculosis (TB) test result upon hire. While a skin test and chest x-ray were noted in the record, the actual results of the skin test were not documented, and the staff member reported a positive result.

The facility failed to maintain clean and sanitary food service areas, specifically regarding the floors, ice machine, refrigerator, and cooking equipment. Additionally, staff were observed not wearing hairnets, and there were issues with undated/unlabeled food and improper freezer temperatures.

The facility failed to ensure that a resident with significant vision loss was provided with necessary eating assistance during mealtimes. Specifically, staff failed to orient the resident to food placement on the plate, resulting in the resident having to use her hands to locate food and being assisted by other residents instead of staff.