Chestnut Park Retirement Center

The facility failed to ensure a medication aide observed a resident actually taking their medication immediately following administration. Specifically, Resident #4 was observed taking medications alone in the dining room without staff presence, despite the medication being documented as administered.

The facility failed to provide non-disposable place settings, including knives, forks, spoons, plates, and beverage containers, for residents during meals. Observations showed all 14 residents were served on disposable items, and the Administrator admitted to using disposable settings for two years due to concerns regarding germs.

The facility failed to ensure that a medication aide observed a resident actually taking their medication before recording the administration. This practice violates the requirement that medication administration must be recorded immediately following administration and observation.

The facility failed to provide residents with non-disposable place settings during meal service. Observations showed all 14 residents were served on disposable plates and utensils, and the Administrator admitted to using disposable settings for two years due to concerns regarding germs.

The facility failed to implement and maintain COVID-19 safety protocols established by the CDC, NCDHHS, and local health department. Specifically, the facility failed to ensure appropriate screening of visitors and residents, proper use of personal protective equipment (PPE) by staff, and adherence to social distancing guidelines.

The facility failed to implement CDC, NCDHHS, and local health department guidelines to protect residents during the COVID-19 pandemic. Specifically, the facility failed to ensure appropriate screening of visitors and residents, proper use of personal protective equipment (PPE) by staff, and adherence to social distancing guidelines.

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The facility failed to ensure that a staff member (Staff A) had a criminal background check completed prior to their rehire on 08/22/18. The Administrator admitted that the check was not performed because the facility needed a reliable person in place quickly. This failure left the facility unaware of the employee's potential criminal history, impacting resident safety.

The facility failed to maintain a current fire inspection report available for review. A review of the local fire safety inspection report revealed a completion date of 4/15/15 with seven violations noted.

The facility failed to keep walls, ceilings, and floors clean and in good repair. Observations revealed numerous dark brown spots and black staining on the floors in the main hallways, living room, dining room, kitchen, and several resident rooms and bathrooms.

The facility failed to keep surfaces clean and in good repair. Specifically, the wall of resident room #7 and the floors of the main hallways and dining area were not kept clean.

The facility failed to maintain a current fire inspection report available for review. The most recent local fire safety inspection report on file was dated 4/15/15 and contained seven noted violations.

The facility failed to keep various surfaces clean and in good repair, including resident rooms, common shower rooms, and hallways. Specific issues included urine/stains on bathroom floors, dust accumulation on fans and exhaust fans, and rusted/dirty shower chair legs.

The facility failed to lock up a housekeeping cart containing cleaning chemicals in a storage closet that was required to be locked at all times. This left potentially hazardous multi-surface cleaner and disinfectant accessible in an unlocked service hallway.