Dunmore Senior Living of Zebulon

The facility failed to ensure that 3 out of 5 sampled residents were tested for tuberculosis disease in compliance with CDC guidelines. Specifically, documentation was missing for required second-step TB tests, chest x-rays, or subsequent skin testing for admitted residents.

The facility failed to ensure that 3 of 5 sampled residents (#1, #2, and #5) were tested for tuberculosis (TB) disease in compliance with required guidelines. Specifically, for Resident #1, there was no documentation of a second-step TB test or a chest x-ray. For Resident #2, documentation only showed a TB skin test was placed on 07/11/25 without subsequent follow-up documentation.

The facility failed to maintain hot water temperatures at 6 of 16 resident-accessible fixtures within the required range of 100 to 116 degrees Fahrenheit. Observations and interviews revealed temperatures as high as 121.1 degrees Fahrenheit and identified a malfunctioning mixing valve as the cause.

The facility failed to maintain hot water temperatures at 6 of 16 resident-accessible fixtures within the required range of 100 to 116 degrees Fahrenheit. Specifically, temperatures in resident rooms 207 and 209 were observed as high as 121.1 degrees Fahrenheit. Maintenance staff noted difficulties regulating temperatures due to a mixing valve issue.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit, with recorded temperatures ranging from 97 to 127 degrees F. Observations and interviews revealed fluctuating temperatures in resident rooms and a lack of a functional thermometer for maintenance staff to regulate the system.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit, with recorded temperatures ranging from 98 to 122.4 degrees F. Maintenance staff lacked a working thermometer to monitor temperatures, and the Administrator failed to consistently review hot water logs to ensure resident safety.

The facility failed to ensure proper notification to primary health care providers to meet the routine and acute health care needs of residents. Specifically, the facility failed to ensure notification regarding blood sugars, blood pressure, and other clinical changes.

The facility failed to ensure that 8 ounces of milk was served to residents twice daily as required by the daily menu. Observations and interviews revealed that while milk was provided at breakfast, it was not offered or served during lunch or dinner meals.

The facility failed to plan dietary menus that account for the food preferences and customs of residents. Observations and interviews revealed that residents were served foods they disliked, such as tuna, and that the kitchen staff failed to provide appropriate substitutes or accommodate specific dietary preferences like avoiding fish.