Clemmons Village II

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, metoprolol was administered despite the resident's heart rate falling below the physician-ordered hold parameter of 65 beats per minute on multiple occasions between January and March 2026.

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, metoprolol was administered despite heart rate readings falling below the required hold threshold of 65 beats per minute on multiple occasions in January and February 2026.

The facility failed to maintain accurate medication administration records during a transition from paper to electronic systems. An error by the contracted pharmacy caused a resident's medication to be discontinued in the eMAR system prematurely, leading to gaps in documented medication administration.

The facility failed to ensure medications were administered according to a licensed prescribing practitioner's orders. Specifically, for one resident, a physician's order to discontinue levothyroxine 100 mcg was not properly documented, and a pharmacy error resulted in an incorrect stop date being entered into the electronic medication administration record.

The facility failed to ensure medications were administered according to a licensed prescribing practitioner's orders. Specifically, for one resident, medication administration records showed inconsistent dosing and documentation of levothyroxine, including doses administered after the medication had been ordered to be discontinued.