Cherry's Family Care Home # 3

The facility failed to ensure that 2 of 3 sampled residents were tested for tuberculosis disease in compliance with required control measures. Specifically, for Resident #1, there was no documentation of a positive or negative TB skin test or chest x-ray results despite a documented history of tuberculosis and respiratory issues.

The facility failed to ensure that one of three sampled residents was tested for tuberculosis disease upon admission in compliance with required control measures. Specifically, while a negative test from 2022 was documented, there was no documentation of a subsequent required TB test for the resident.

The facility failed to ensure that a resident assessment was completed within 30 days following admission and at least annually thereafter using an approved assessment instrument.

The facility failed to administer a prescribed medication (Jublia 10% topical solution) for a resident's toenail fungus as ordered. Review of medication records showed no documentation of administration for the months of June, July, and August 2022, and the medication was not present on the medication cart. The facility administrator was unaware of the order and had not received communication regarding the pharmacist's notification of insurance coverage issues.

The facility failed to administer a prescribed medication for a resident as ordered. Specifically, there was no documentation of the administration of Jublia 10% topical solution for toenail fungus from June 1, 2022, through August 3, 2022. Additionally, the medication was not present on hand during an observation on August 5, 2022.

The facility failed to ensure that staff members have no substantiated findings listed on the North Carolina Health Care Personnel Registry.

The facility failed to ensure that one of two sampled staff members was tested for Tuberculosis (TB) upon hire. A review of the Medication Aide's personnel record showed no documentation of a TB skin test, and the staff member confirmed he had not been tested or asked to complete one.

The facility failed to ensure that 1 of 2 sampled staff (Staff B) was tested for Tuberculosis (TB) disease upon hire. Documentation of a TB skin test was missing from the employee's personnel record, and the staff member had not been administered a test or scheduled an appointment.

The facility failed to ensure that 2 of 2 sampled staff (Staff A and Staff B) had a statewide criminal background check completed upon hire. For Staff A, there was no documentation of signed consent for a check, and for Staff B, there was no documentation of a statewide check, only a county-level search.

The facility failed to verify that the North Carolina Health Care Personnel Registry (HCPR) had no substantiated findings for 1 of 2 sampled staff (Staff B) upon hire. The Administrator had not completed the required registry check for this employee.