Harmony at Hope Mills

The facility failed to provide adequate supervision for a resident with high fall risk, resulting in six unwitnessed falls within one month. Specifically, a resident was found sitting on the floor in her kitchen after falling out of a transport chair, having been left unattended for an extended period.

The facility failed to provide adequate supervision for a resident with high fall risk, resulting in six unwitnessed falls within one month. Specifically, staff failed to update care plans and complete post-fall assessments following incidents, and a resident was found on the floor in her kitchen after falling from a transport chair.

The facility failed to ensure physician notification for a resident regarding repeated refusals of eyedrops used to treat high eye pressure. While the facility's policy required notifying the physician after one missed dose, there was no documentation that the physician was contacted despite numerous documented refusals between March and June 2020.

The facility failed to ensure that one of four sampled medication aides received required training on the care of diabetic residents prior to administering insulin and performing fingerstick blood sugars. Personnel records showed no documentation of diabetic training or clinical skills competency validation for the staff member. The staff member also could not recall receiving any diabetic training during her employment.

The facility failed to ensure that one of four sampled medication aides received required training on the care of diabetic residents prior to administering insulin and performing fingerstick blood sugars. Personnel records showed no documentation of diabetic training or clinical skills competency validation for the staff member. Interviews confirmed the staff member could not recall receiving any such training.