Cranberry House

The facility failed to prohibit the use of a portable electric heater in a staff office. An inspection revealed an electric heater plugged into a power surge protector under a desk, which is a prohibited appliance under state regulations.

The facility failed to maintain a matching therapeutic and diet menu for staff guidance. While a regular menu was posted, there was no therapeutic diet menu available, leading to a resident on a mechanical soft, chopped meat diet being served a bologna sandwich that did not meet the required texture.

The facility failed to prohibit the use of a portable electric heater in a staff office. An inspection revealed a portable electric heater plugged into a power surge protector under a desk, which is prohibited under the facility's safety regulations.

The facility failed to maintain a matching therapeutic diet menu for guidance of food service staff. Specifically, for one resident sampled, there was no menu available to guide staff regarding physician-ordered mechanical diet requirements.

The facility failed to ensure medications were administered as ordered for one resident. Specifically, there were no entries in the electronic medication administration record (eMAR) for Gentamicin eye drops or Maxitrol ointment, despite physician orders for these antibiotics.

The facility failed to ensure medications were administered as ordered for one resident. Specifically, physician orders for Gentamicin drops and Maxitrol ointment dated 01/27/23 were not entered into the electronic medication administration record (eMAR) or available on the medication cart, resulting in a failure to administer prescribed antibiotics for an eye infection.

The facility failed to ensure a resident assessment and care plan were updated within 10 days following a significant change in condition. Specifically, one resident experienced a decline in ambulatory status and became dependent on staff for personal care and safety without the required assessment being completed.

The facility failed to complete a resident assessment and update the care plan within 10 days following a significant change in condition for one resident. Specifically, the resident's decline in ambulatory status and increased dependency on staff for transfers and personal care was not documented in a subsequent assessment after March 2022.

The facility failed to implement and maintain CDC and NCDHHS guidelines regarding the use of personal protective equipment (PPE) during the COVID-19 pandemic. Specifically, the facility did not ensure proper adherence to masking and PPE protocols for staff and residents as required by health department directives.

The facility failed to implement and maintain an infection prevention and control program consistent with CDC and NCDHHS guidelines. Specifically, the facility failed to ensure proper accessibility and use of personal protective equipment (PPE) for staff and residents during the COVID-19 pandemic.