Carolina Rest Home

The facility failed to ensure proper referral and follow-up to meet the acute health care needs of residents. Specifically, staff failed to follow up with a primary care provider regarding a resident's behaviors and medication refusals, and failed to report a resident's weight gain to their physician.

The facility failed to ensure proper referral and follow-up to meet the acute health care needs of residents. Specifically, the facility did not follow up with a primary care provider regarding resident behaviors, medication refusals, and weight gain.

The facility failed to ensure referral and follow-up to meet the acute health care needs of residents. Specifically, staff failed to notify the primary care provider of finger stick blood sugars outside of prescribed parameters and failed to notify the provider regarding a resident's refusal to see a mental health provider.

The facility failed to ensure proper referral and follow-up for the acute health care needs of residents. Specifically, staff failed to notify the primary care provider regarding finger stick blood sugar readings outside of prescribed parameters and failed to notify the provider when a resident refused to see a mental health provider.

The facility failed to provide hand bells or other signaling devices for residents unable to evacuate without assistance. Observations and interviews revealed multiple residents lacked functional call bells, with one resident relying on yelling for assistance with incontinence care.

The facility failed to provide hand bells or other signaling devices for residents unable to evacuate without assistance. Observations and interviews revealed multiple residents in bedrooms lacked functional call bells, leaving them unable to alert staff for assistance with needs such as incontinence care.

The facility failed to provide care and services in accordance with the resident's care plan. Specifically, staff failed to follow physician orders for Resident #2 regarding the application and removal of thromboembolic deterrent (TED) hose. Records and observations showed the resident was wearing the compression socks during sleeping hours, contrary to orders to wear them during awake hours only.

The facility failed to maintain an accurate medication administration record (MAR) as required by regulation. The documentation was incomplete or lacked necessary details regarding the resident's medication or treatment orders.

The facility failed to provide care and services in accordance with physician orders for a resident. Specifically, the facility did not ensure the resident wore prescribed compression socks (TED hose) during awake hours as ordered. Documentation showed the socks were frequently not applied or were removed during the day.