Heart to Heart Family Care Home 2

The facility failed to ensure that 2 out of 3 sampled residents had a completed care plan within 30 days of admission. Specifically, records for Resident #1 and Resident #3 showed no care plans were available for review despite their admissions occurring months prior.

The facility failed to maintain a three-day supply of perishable food and a five-day supply of non-perishable food. Observations of the refrigerator and pantry revealed a lack of essential items such as milk, eggs, juice, meat, and bread. Interviews confirmed the facility had been out of milk for two days and eggs since July 4, 2023.

The facility failed to maintain resident records in an orderly manner and make them available for review. The documentation provided indicates deficiencies in the management of required resident documentation and records.

The facility failed to maintain a three-day supply of perishable food and a five-day supply of non-perishable food based on the resident census and established menus. An inspection of the refrigerator revealed insufficient items, such as only one bottle of soda and a half-full bottle of orange juice, to meet the required nutritional standards.

The facility failed to maintain hot water temperatures at two resident bathroom sinks between 100 and 116 degrees Fahrenheit. Observations revealed temperatures as high as 136 degrees F, with steam visible from the faucets. Additionally, water temperature logs were incomplete and did not specify which fixtures were being checked.

The facility failed to provide care and services in compliance with state laws and regulations regarding building service equipment. Specifically, the facility did not ensure that hot water temperatures were maintained within the required safety range for residents.

The facility failed to maintain hot water temperatures at two resident bathroom sinks within the required range of 100 to 116 degrees Fahrenheit. Observations showed temperatures as high as 136 degrees Fahrenheit with visible steam. Additionally, the facility lacked an appropriate thermometer for water temperature checks, using only a meat thermometer.

The facility failed to ensure a two-step tuberculosis (TB) skin test was completed and documented upon admission for Resident #1. While a single TB skin test was provided, there was no evidence that the required second step of the testing process had been performed or recorded in the resident's file.

The facility failed to ensure that one of three sampled residents received a required 2-step tuberculosis (TB) test upon admission. Specifically, documentation for Resident #1 showed a single TB skin test was administered, but the required second step of the testing process was not documented.

The facility failed to ensure that one sampled staff member completed the required 2-step tuberculosis testing method. Records showed the staff member had not received a TB skin test since being rehired on 1/15/16.

The facility failed to verify that one sampled staff member had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR). Documentation of the required HCPR check was missing from the staff member's personnel record.