Forest Ridge Assisted Living

The facility failed to maintain an accurate and readily retrievable record for the receipt and administration of a controlled substance for one resident. Specifically, there was no physician's order on file for zolpidem, and the controlled substance count sheet did not document the administration of the medication.

The facility failed to maintain an accurate, readily retrievable record for the receipt and administration of a controlled substance (Zolpidem) for one resident. Specifically, there was no physician's order for the medication, no documentation of the facility receiving the medication, and no documentation of the medication being administered despite 13 tablets being present on the medication cart.

The facility failed to ensure the medication cart on the Special Care Unit was properly secured. Observations revealed a resident was able to access the cart unattended, and the cart's locking mechanism was malfunctioning, allowing drawers to be opened without unlocking the cart.

The facility failed to ensure the medication cart on the Special Care Unit was properly secured. An unlocked medication cart was left unattended, allowing a resident access to the cart and its contents. Additionally, the cart's locking mechanism was malfunctioning, making it difficult to secure the drawers.

The facility failed to ensure an immediate response and intervention for a resident who experienced an unwitnessed fall. This failure occurred in violation of the facility's policies regarding staff intervention, resident assessment, and necessary notifications following an accident.

The facility failed to ensure an immediate response and intervention for a resident who experienced an unwitnessed fall. Specifically, documentation showed a resident was found on the floor, but there was no record of vital signs being obtained or the fall being documented by day shift staff prior to the shift change.

The facility failed to comply with regulations regarding Residents' Rights and G.S. § 131D-21. This Type B violation was substantiated during a complaint investigation and COVID-19 focused infection control survey.

The facility failed to implement CDC, NC DHHS, and local health department guidance regarding the cohorting of staff and residents following a COVID-19 outbreak on 09/23/20. Specifically, the facility did not maintain a dedicated space and assigned healthcare personnel for COVID-19 positive residents to reduce the risk of transmission.