East Towne

The facility failed to immediately notify law enforcement and the county Department of Social Services when a resident with a history of leaving the facility without notice went missing. Staff were unable to locate the resident, who had left the facility to visit a family member and visit a bank without communicating his whereabouts.

The facility failed to immediately notify law enforcement and the county Department of Social Services when a resident with a history of leaving the facility without notice was found to be missing. Although the resident eventually returned, there was no documentation that the required agencies were notified when the resident's whereabouts were unknown.

The facility failed to ensure timely follow-up for a resident by not notifying the Primary Care Provider of a weight gain of three pounds or greater in a 24-hour period. Record reviews showed multiple instances of significant weight gain that were not reported to the physician as required by standing orders.

The facility failed to ensure timely follow-up for a resident by not notifying the Primary Care Provider (PCP) of significant weight gain. Specifically, multiple instances of weight gain of three pounds or greater within a 24-hour period were documented in April and May 2023 without evidence of physician notification.

The facility failed to implement CDC, NC DHHS, and local health department infection control procedures during the COVID-19 pandemic. Specifically, the facility did not retest residents and staff who initially tested negative, failed to isolate residents showing COVID-19 symptoms, and did not properly dispose of gowns or use hand sanitizer correctly.

The facility failed to implement and maintain COVID-19 infection control procedures as recommended by the CDC and NC DHHS. Specifically, the facility did not retest residents and staff who initially tested negative, failed to properly isolate residents showing COVID-19 symptoms, and did not follow proper gown disposal or hand hygiene protocols during blood sugar checks.

The facility failed to respond immediately and according to established policy for a resident who experienced bleeding from a dislodged central venous catheter. This incident required an immediate emergency response that was not properly executed by staff.

The facility failed to respond immediately and in accordance with established policies and procedures for a resident who experienced severe bleeding due to a dislodged central venous catheter. Evidence showed significant blood loss in the resident's room and on equipment, indicating a failure to provide the required immediate care and intervention during an emergency.