Clemmie's Family Care Home II

The facility failed to maintain clean, safe, and functional walls, ceilings, and floors. Specific issues included peeling paint in bathrooms and closets, cracked flooring, a hole in the dining room ceiling, and damaged bathroom cabinetry.

The facility failed to ensure walls, ceilings, and floors were kept clean and in good repair. Specific issues included peeling paint in the hallway, a hole in the dining room ceiling, and detached cabinet doors in the kitchen and bathroom.

The facility failed to ensure all residents were tested for tuberculosis disease upon admission. A review of records showed that 1 of 3 sampled residents had not been tested in compliance with required control measures.

The facility failed to ensure medications were administered as ordered for one resident. Specifically, the facility did not follow the physician's order for a Lidocaine 5% patch, which required the patch to be applied in the morning and removed at bedtime.

The facility failed to ensure physician orders were implemented for 2 of 3 sampled residents. Specifically, the facility did not follow orders for wound dressing changes, the use of compression socks and ankle wraps, leg elevation, and daily weight checks.

The facility failed to conduct the required four annual fire evacuation rehearsals and failed to maintain proper records of these drills. Additionally, the facility lacked a formal policy for fire drill rehearsals, and during a drill on 10/05/23, residents were unable to evacuate without instruction.

The facility failed to maintain the building in a manner that ensures the safety of residents with physical impairments. Specifically, a resident using a wheelchair was unable to evacuate the facility independently during a fire drill because there was no ramp at the threshold of the front entry/exit door. This deficiency prevented the resident from navigating the entrance without physical assistance from staff or other residents.

The facility failed to ensure the building met North Carolina Building Code requirements for non-ambulatory residents. Specifically, the front entrance lacked a ramp at the threshold, which is necessary for residents like Resident #2 who cannot evacuate independently due to physical impairments.

The facility failed to ensure the FL-2 medical examination form was completed correctly for one of two residents sampled. Specifically, the form for Resident #1 did not include a required diet order.

The facility failed to ensure that a resident care plan was completed within 30 days of admission for one of two residents sampled. Review of Resident #1's records showed no care plan had been developed despite an admission date of 04/06/21.

The facility failed to ensure that one of three sampled medication aides had completed the required state-approved medication administration course and examination. Staff A was observed administering medications despite having not completed the necessary online training modules or the MA exam.