Dunmore Senior Living of Siler City

The facility failed to ensure proper health care referral and follow-up for a resident with dementia. Specifically, the facility did not notify the resident's Mental Health Provider (MHP) regarding increased wandering behaviors and incidents of inappropriate touching and restlessness occurring at night.

The facility allowed seven individuals to reside in the facility who did not require assisted living services. These residents were moved from a closed independent living facility into the assisted living area, violating the rule that people shall not be admitted for lodging when personal assistance and supervision are not needed.

The facility admitted 7 individuals who did not require assisted living services but were moved from a closed independent living facility. This violates the requirement that residents should only be admitted when the home's services and accommodations meet their specific needs, and not merely for lodging when personal assistance is not required.

The facility failed to ensure food was stored under sanitary conditions by leaving multiple items in the freezer in unsealed bags. Specifically, opened bags of frozen okra, yeast rolls, biscuits, and hash browns were observed exposed to potential contamination. Staff interviews indicated that food was removed from boxes to save space and that bags were not properly secured with clips or zip-lock bags.

Staff failed to properly document the administration of medications. This lack of documentation prevents the facility from verifying that residents are receiving their necessary treatments as prescribed.

The facility failed to maintain accurate medication records. Discrepancies were noted between the medication administration records and the actual medication present in the facility.

The facility failed to ensure that medication administration was performed according to the prescribed instructions. Specifically, there was evidence that medications were not being administered at the correct times or in the correct manner as required by the physician's orders.

The facility failed to ensure necessary referral and follow-up care for residents to meet routine and acute health needs. Specifically, for two sampled residents, the facility failed to track and document appointments for spine center and orthotics referrals, resulting in a 'no show' for an orthopedic appointment and an unmade appointment for prosthetics.

The facility failed to ensure necessary medical follow-up and referrals for residents. Specifically, for two sampled residents, the facility did not document or facilitate required appointments for a spine center, orthotics, and an eye examination.

The facility failed to ensure that ordered medication was administered as prescribed by a licensed practitioner. Specifically, for Resident #5, there was no documentation of the administration of Ativan (Lorazepam) during the period of February 10, 2016, through March 15, 2016, despite an order for the medication to be given every 6 hours as needed.