Changing Places Family Care Home of Durham

The facility failed to ensure that three snacks per day were offered or made available to all residents between meals. A review of the menu showed no documentation of a snack being offered after supper, and there was no monitoring system in place to ensure snacks were provided at designated times.

The facility failed to ensure that medication administration was documented accurately. Specifically, there was a lack of documentation regarding the administration of certain medications to residents.

The facility failed to maintain proper medication records. There were instances where medication administration records were incomplete or did not reflect the actual administration of medications.

The facility failed to ensure one of three residents was tested for tuberculosis in compliance with control measures using the 2-Step TB Skin Test. While a chest X-ray was available in the resident's record, there was no documentation of the required 2-step testing process.

The facility failed to provide care and services in compliance with relevant state laws and regulations regarding the administration of the 2-Step TB Skin Test. This deficiency was directly related to the failure to complete required tuberculosis testing for a resident.