Eliot Family Care Home

The facility failed to ensure that two exit doors were equipped with a continuously sounding device that activates when the door is opened. This is required because a resident was identified as being intermittently disoriented. Observations showed that the alarms sounded upon opening/closing but did not sound continuously.

The facility failed to ensure that two exit doors were equipped with a continuous sounding device that is audible throughout the facility. This was identified for a resident who was intermittently disoriented, placing them at risk for elopement.

The facility failed to ensure that one of three sampled residents had completed the required two-step tuberculosis (TB) testing upon admission. While a negative skin test was documented from 12/07/23, the second step of the testing process was not evidenced in the record.

The facility failed to ensure that Licensed Health Professional Support (LHPS) evaluations were completed quarterly for 2 of 3 sampled residents. Specifically, for residents requiring tasks such as fingerstick blood samples (FSBS) and assistance with ambulation and transferring, no evaluations had been documented since November 2022.

The facility failed to ensure that Licensed Health Professional Support (LHPS) evaluations were completed quarterly for two residents. Specifically, evaluations for residents requiring fingerstick blood samples and assistance with ambulating/transferring had not been updated since November 2022.

The facility failed to ensure primary care provider notification for three residents who refused medications. Specifically, the facility did not notify the physician when a resident refused a daily laxative, and failed to report refusals of nasal spray and antihistamine medications.

Residents are not permitted to keep medications in their individual rooms. All medications must be sourced from the pharmacy and are subject to daily checks by staff and weekly monitoring by the Administrator.

The facility failed to ensure that one of three sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) upon hire. Specifically, there was no documentation of an HCPR check in the employee's personnel record.

The facility failed to ensure that staff members had a criminal background check completed in accordance with state regulations.