Edenton Prime Time Retirement Village

The facility failed to notify the primary care provider (PCP) of a change in a resident's condition following a suspected fall, low blood pressure, and weakness. Although the resident's family was notified, the staff did not contact the PCP's after-hours service to ensure appropriate follow-up care.

The facility failed to ensure proper referral and follow-up for a resident following a suspected fall, low blood pressure, and weakness. Specifically, the primary care provider was not notified of the incident because the event occurred on a Saturday and the provider's office was closed.

The facility failed to provide supervision in accordance with residents' assessed needs and the facility's falls protocol. This resulted in multiple falls for two residents, including one resident who required emergency room treatment for head injuries and facial bruising, and another who sustained skin tears and a left elbow fracture.

The facility failed to provide supervision in accordance with residents' assessed needs and the facility's falls protocol for two residents who sustained multiple falls with injuries. Specifically, Resident #2 required emergency room treatment for head injuries and facial bruising, while Resident #3 sustained skin tears and a left elbow fracture.

The facility failed to maintain a clean and orderly environment free of hazards. Specifically, unsecured oxygen tanks were found in hallways and resident rooms, and various items like sharps containers, toiletries, and large bottles of hand sanitizer were not stored securely. Additionally, an unlocked shower room was being used for improper storage.

The facility failed to maintain the environment in an uncluttered and safe manner. Specifically, unsecured oxygen tanks were found standing upright in hallways, a resident room, and a janitor closet, creating potential hazards for residents using mobility aids. Additionally, sharps containers, toiletries, and hand sanitizer were not stored securely, and an unlocked shower room was being used for improper storage.

The facility failed to maintain a safe and orderly environment by leaving housekeeping chemicals unsecured and accessible. Specifically, moisturizing lotions and skin protectants were left on a dresser in a resident room within a special care unit for residents with dementia. Additionally, the medication room door was left unlocked and contained unsecured hazardous materials, including flammable aerosol cleaners and carpet odor eliminator.

The facility failed to notify the primary care provider of the acute health care needs of a resident following a fall that resulted in a rib fracture. Additionally, the facility failed to notify the provider of changes in the resident's level of consciousness and failed to schedule the required follow-up appointment.