G. Anthony Rucker Rest Home

The facility failed to ensure proper follow-up for a resident's health needs by not contacting the primary care provider regarding elevated blood sugar levels. Specifically, despite physician orders to notify the PCP when finger stick blood sugar results remained at or above 251, there was no documentation of such notification being made.

The facility failed to report allegations of abuse to the North Carolina Health Care Personnel Registry (HCPR) within 24 hours of the allegation for one staff member. The Administrator was unaware that the registry required reporting of allegations, not just confirmed abuse, and was unfamiliar with the required reporting timelines.

The facility failed to report allegations of abuse to the North Carolina Health Care Personnel Registry (HCPR) within 24 hours of the allegation for one staff member. This failure occurred despite the facility being notified of sexual assault allegations involving staff.

The facility failed to ensure that all resident charts contained required tuberculosis (TB) documentation. The Administrator must audit all charts immediately to ensure compliance.

Medication Aides failed to complete adequate assessments to identify resident needs and initiate necessary referrals. The Administrator must re-educate staff and review physician and discharge summaries to ensure referrals are made.

The facility failed to maintain an adequate supply of gloves. Staff must notify the Administrator when supplies are low to ensure at least two full boxes are always available.

The facility failed to provide adequate fruit options during meals. The Administrator is required to purchase fruit during weekly shopping and discuss dietary needs at resident council meetings.

The facility failed to properly monitor the condition of dining ware. Medication Aides must monitor meals to identify and discard broken or chipped plates.

The facility failed to ensure medications are administered as ordered and that cart audits are performed correctly. Audits must include comparing on-hand medications, dispensed dates, and MARs, as well as monitoring control logs.

The facility failed to ensure that one of three sampled residents was tested for tuberculosis disease upon admission. While the resident reported receiving a skin test, there was no documentation of the test results in the resident's medical record.

The facility failed to maintain cleanliness and good repair of walls, floors, and fixtures in resident bathrooms and common areas. Specific issues included stained grout, rusted plumbing fixtures, dirty air vents, and damaged door surfaces. Additionally, hallway flooring and metal thresholds showed significant dirt build-up and physical damage.

The facility failed to notify a healthcare provider to request a Home Health recommendation for a resident's chronic leg wound. Despite a licensed health professional recommending a home health consult in November 2015, the facility did not follow up, resulting in an uncovered, raw wound on the resident's ankle during the survey.