Confidence Builders II

The facility failed to ensure that exit doors accessible to residents with dementia or wandering behaviors had a continuously sounding alarm that is audible throughout the facility. Observations revealed that when the front and back exit doors were opened, there was no audible alarm. This failure poses a safety risk for residents identified with disorientation and wandering behaviors.

The provided text contains the regulatory requirements for facility capacity but does not explicitly state a specific deficiency or failure found during this survey. The document only lists the regulation text under the C 007 tag.

The facility failed to ensure that a sampled medication aide had completed the required medication training, clinical skills validation, and written examination. Specifically, documentation was missing for employment verification, the required 15 hours of training, and the clinical skills competency checklist. Resident interviews confirmed that this staff member was actively administering medications despite these training deficiencies.

The facility failed to ensure that one of two sampled medication aides had completed required medication training, clinical skills validation, and the written examination. Additionally, the personnel record for the staff member lacked a hire date, employment verification, and documentation of required medication training hours.

The facility failed to ensure that 3 of 3 sampled staff members (Administrator, Staff B, and Staff C) were tested for Tuberculosis (TB) disease upon hire. There was no documentation on site for these TB skin tests, and in some cases, staff reported they had not been tested or asked to complete the test.

The facility failed to ensure that the North Carolina Health Care Personnel Registry (HCPR) check for no substantiated findings was completed upon hire for 3 of 3 sampled staff members. Personnel records for the Administrator, Staff B, and Staff C did not contain documentation of these required HCPR checks.