Graceland Living Center I

The facility failed to administer medications as ordered for one resident. Specifically, the facility did not provide pravastatin as prescribed by the physician's orders and discharge summary, resulting in no documentation of the medication being administered during November and December 2024.

The facility failed to administer medications as ordered for one resident who required pravastatin for high cholesterol. Specifically, the resident's medication was not documented as administered during the months of November and December 2024, and the medication was not available for administration at the time of observation.

The facility failed to provide the required minimum of 14 hours of varied group activities per week. Specifically, during the week of 11/19/23 through 11/25/23, only 12 hours of activities were scheduled. Additionally, records showed multiple instances in October and November 2023 where no residents participated in scheduled activities.

The facility failed to ensure a minimum of 14 hours of varied group activities were provided each week. Specifically, during the week of 11/19/23 through 11/25/23, only 12 hours of activities were scheduled.

The facility failed to ensure that two of three sampled staff members (Staff A and Staff C) had completed the required two-step Tuberculin skin test. Records showed either a lack of documentation for the second step or a lack of documentation for a second test within a 12-month period.

The facility failed to ensure that one of three sampled staff members (Staff C) had a completed North Carolina Health Care Personnel Registry (HCPR) check prior to hire. The administrator admitted the check was not performed because the employee was hired for a housekeeping role rather than a clinical role.

The facility failed to ensure that 2 of 3 staff members (Staff A and Staff C) had completed the required 2-step Tuberculin skin test. Personnel records showed only single tests or lacked documentation of the second step required by TB control measures.

The facility failed to ensure that staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry.