Carrie's Family Care Home

The facility failed to ensure a licensed pharmacist, provider, or registered nurse completed a quarterly onsite medication review for all sampled residents. Specifically, for three out of three residents reviewed, the facility did not perform the required reconciliation of current orders, medication administration records (MARS), and medications in the facility.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit for four fixtures in two resident bathrooms. Observations revealed temperatures as high as 127 degrees Fahrenheit in a bathroom tub and 124.4 degrees Fahrenheit in a bathroom sink. Residents reported having to manually add cold water to prevent the water from becoming too hot.

The facility failed to notify the Division of Health Services Regulation regarding the addition of non-residents living in the home. Specifically, two non-residents had been occupying a bedroom since March 2024 without proper notification to the state.

The facility failed to ensure that 2 of 3 sampled residents were tested for tuberculosis disease upon admission in compliance with required control measures. Specifically, documentation of TB testing was missing for Resident #2, and Resident #1 could not confirm if testing had occurred upon admission.

The facility failed to maintain walls, ceilings, and floors in a clean and good repair. Specifically, an air conditioner return had holes and accumulated dirt/black film, and there were gaps present in the floor tiling near a resident's bedroom door frame.

The facility failed to provide required pharmaceutical care services, which includes quarterly on-site medication reviews by a licensed professional to identify and resolve medication-related problems.

The facility failed to ensure that one of the three sampled staff members had a criminal background check on file in accordance with state requirements. Although the staff member stated a check had been completed, the documentation had been misplaced.

The facility failed to maintain electrical, plumbing, and mechanical equipment in a safe and operating condition. Specific issues included clogged and overflowing toilets in resident and staff bathrooms, non-functioning light bulbs, and an inoperable shower stall.