Colonial Manor Rest Home

The facility failed to administer medications as ordered for one resident. Specifically, divalproex was not administered from 02/21/25 to 02/28/25 because the medication aide did not contact the pharmacy for a refill, mistakenly believing the guardian had delivered it.

The facility failed to administer medications as ordered for a resident diagnosed with dementia. Specifically, divalproex was not administered from 02/21/25 to 02/28/25 because the medication was not delivered, despite the facility having the order in the eMAR. The medication aide failed to follow procedure to notify a supervisor or contact the pharmacy to resolve the missing medication.

The facility failed to maintain a safe environment free from hazards due to the presence of live bed bugs in residents' rooms. Surveyors observed live bed bugs crawling on pillows and walls, as well as bug carcasses and black speckling in multiple resident rooms.

The facility failed to maintain a safe environment free from hazards due to the presence of live bed bugs in multiple resident rooms. Inspectors observed live bed bugs crawling on pillows and walls, as well as bug carcasses and black speckling on linens. Residents reported being bitten by bugs and noted that staff had previously attempted to use bug spray to manage the infestation.

The facility failed to ensure that 2 of 3 sampled residents were tested for tuberculosis disease upon admission in compliance with required control measures. Specifically, documentation for Resident #1 lacked a reading date, the name of the person who read the test, and evidence of a second skin test.

The facility failed to ensure that two out of three sampled residents were tested for tuberculosis disease upon admission in compliance with required control measures. Specifically, one resident's record lacked a date for the test reading, the name of the person who read the test, and documentation of a second skin test. Another resident's record showed no documentation of a 2-step TB skin testing completion.

The facility failed to ensure that one of four sampled Medication Aides had completed the required medication written examination within 60 days of hire. A review of the staff member's personnel file showed no documentation of the completed examination.

The facility failed to ensure that one sampled Medication Aide (Staff A) had completed the required medication written examination within 60 days of hire. Although the staff member was listed on the North Carolina Medication Aide Registry, there was no documentation of the specific Adult Care Home medication written exam required by the regulation.