Carolina Inn at Village Green

The facility failed to ensure that one sampled staff member (an LPN) had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) prior to hire. There was no documentation available in the personnel record to prove an HCPR check was completed at the time of hire.

The facility failed to ensure that a staff member had a criminal background check completed upon hire. The personnel record for a staff member who transferred to a nursing assistant position lacked both the required consent for a background check and documentation that the check had been performed.

The facility failed to ensure the kitchen was clean and protected from contamination. Observations revealed food particles and build-up of a brownish, yellow-colored substance on the metal vents of the overhead hood vent located over the flat top grill and deep fryer.

The facility failed to ensure that one of three sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) prior to hire. A review of the employee's record showed no documentation that an HCPR check was completed at the time of hire.

The facility failed to ensure that one of three sampled staff members had a criminal background check completed upon hire. A review of the food service aide's personnel record indicated the required background check was missing.

The facility failed to maintain matching therapeutic diet menus for physician-ordered diets. Specifically, for 4 out of 7 sampled residents, there were no menus available for required diets including Reduced Concentrated Sweets (RCS), mechanical soft, puree, and No Added Salt (NAS) diets.

The facility failed to maintain hot water temperatures at resident water fixtures between 100 and 116 degrees Fahrenheit. Observations revealed temperatures as high as 130 degrees Fahrenheit in certain areas, including the Terrace Level and First Floor. Additionally, the facility failed to post necessary caution signs at sinks with excessively hot water.

The facility failed to maintain hot water temperatures in resident areas between 100 and 116 degrees Fahrenheit. Specifically, a sink in Room 124 was found to have water at 120 degrees F, and the facility had ongoing boiler system issues causing temperature fluctuations across all four floors.