Care Innovations of North Carolina

The facility failed to maintain hot water temperatures within the required range of 100°F to 116°F. Specifically, hot water in a resident-accessible bathroom sink was observed at temperatures ranging from 116.2°F to 120°F, posing a burn risk.

The facility failed to ensure physician orders were properly implemented for a resident. Specifically, the resident's medication administration records for March and April 2024 showed Risperdal was being administered at a dosage of one tablet once daily, which did not match the physician's order for two tablets twice a day.

The facility failed to ensure physician orders were properly implemented for one resident. Specifically, the resident was being administered Risperdal at a dose of one tablet once daily, whereas the physician's order required two tablets twice a day. Additionally, the facility failed to follow the correct dosage for melatonin, administering two tablets at bedtime instead of the ordered 15mg dose.

The facility failed to ensure necessary health care referrals and follow-up for three sampled residents. Specifically, the facility did not facilitate required appointments with mental health providers for medication management and podiatry consults.

The facility failed to ensure necessary health care referrals and follow-up for three sampled residents. Specifically, there was no evidence of follow-up for mental health provider appointments for medication refills or dosage changes, nor for required podiatry consultations.

The facility failed to ensure that residents' evacuation capabilities matched the capabilities listed on the home's license. Specifically, one resident with cognitive and physical impairments from Lewy body dementia was residing in the facility, despite the license only being approved for ambulatory residents.