Cuthbertson Village at Aldersgate

The facility failed to provide adequate supervision for a resident with dementia requiring a special care unit level of care. On 06/04/22, the resident was found on the ground in an enclosed courtyard with a hematoma to the back of her head after staff failed to monitor her location. Interviews revealed staff had failed to check the courtyard during shift changes.

The facility failed to provide adequate supervision for a resident with dementia who required a special care unit level of care. During a shift change, a resident was found lying on the ground in an enclosed courtyard with a head hematoma after staff failed to include the courtyard in their initial search.

The facility failed to ensure that one of three sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) upon hire. There was no documentation of a Healthcare Registry check being conducted for the staff member prior to them working in the facility.

The facility failed to ensure that non-licensed personnel's competency was validated for specific tasks. Specifically, there was a need to ensure that the skills checklist for contracted homecare aides was properly validated and aligned with resident care plans.

The facility failed to ensure that one of three sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) upon hire. There was no documentation of an HCPR check being conducted for the staff member prior to them working in the facility as a sitter.

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