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Source: NC Division of Health Service Regulation
The facility failed to ensure that at least one staff person on the premises had completed a CPR and choking management course within the last 24 months for 2 out of 3 staff members. Specifically, the Administrator's CPR certification had expired on 12/31/17, and Staff A's certification expired on 1/31/18.
The facility failed to ensure that at least one staff person on the premises at all times had completed a course on CPR and choking management within the last 24 months. Specifically, the Administrator and one staff member were found to have expired CPR certifications.
The facility failed to ensure that one of three sampled residents received the required tuberculosis testing upon admission. Specifically, Resident #1 had a negative TB skin test recorded, but there was no documentation that a second required skin test had been administered.
The facility failed to ensure contact with a physician or prescribing practitioner for the verification or clarification of medication and treatment orders when necessary. This includes ensuring orders are clear, complete, and consistent across admission forms.
The facility failed to ensure medication orders were clear and verified with the prescribing practitioner. Specifically, there was a discrepancy between the physician's note regarding Trazodone dosage and the facility's handwritten medication administration records, which listed the medication as 'as needed' despite conflicting instructions.
The facility failed to ensure one of three sampled residents received a second tuberculosis skin test upon admission. While a single test was documented, there was no evidence that the required two-step testing process was completed in compliance with health control measures.
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