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Source: NC Division of Health Service Regulation
The facility failed to ensure that 2 of 3 residents had completed required tuberculosis (TB) testing upon admission. Specifically, for Resident #2, there was no evidence of a TB skin test in the medical record, and the resident could not recall receiving a test. Additionally, the resident's admission date was not documented in the resident register.
The facility failed to ensure that the therapeutic diet menu was consistently being used by staff in the kitchen.
The facility failed to properly monitor resident status during the processes of admission and discharge.
The facility failed to ensure that a specific storage box was kept in a locked state.
The facility failed to ensure that all staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) prior to hire. Specifically, a review of personnel records showed that 2 of 3 sampled staff members lacked documentation of a completed HCPR check, and one staff member's hire date was not documented.
No deficiencies are reported in this inspection record.
The facility exceeded its licensed capacity by one resident. While licensed for five ambulatory residents, the facility was found to have more residents than permitted by its current license.
The facility exceeded its licensed capacity by one resident. While licensed for five ambulatory residents, the facility was found to have more residents than permitted by its current license.
The facility failed to ensure necessary follow-up care for a diabetic resident who required referrals to an endocrinologist and podiatrist. Records showed the resident missed a scheduled endocrinology appointment and that a subsequent appointment was canceled by facility staff.
The facility failed to ensure that the Administrator had a criminal background check on file upon hire. While the Administrator stated a check was completed, there was no documentation of the check in the personnel record.
The facility failed to ensure that the Administrator had a criminal background check on file upon hire. A review of personnel records showed no documentation of a completed background check for the Administrator, who was hired in 2004.
The facility failed to assure necessary referral and follow-up care for a resident's health needs. Specifically, a diabetic resident did not receive the ordered referrals to an endocrinologist and a podiatrist as required by their primary care provider.
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