Heritage Care Home of Dials #4

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit. During inspections, three different bathroom sinks were found with temperatures ranging from 128.6 to 152.6 degrees Fahrenheit, posing a significant burn risk to residents.

The facility failed to maintain hot water temperatures within the required range of 100 to 116 degrees Fahrenheit. Multiple bathroom fixtures were found with temperatures ranging from 128.6 to 152.6 degrees Fahrenheit, posing a significant burn risk to residents.

The facility failed to ensure medication orders were complete. Specifically, for one resident, the facility failed to obtain a stated indication for use for an as-needed medication prescribed to treat anxiety.

The facility failed to ensure that three sampled staff members who administered medications were supervised by a qualified staff member prior to passing the state-approved medication aide written examination. Specifically, documentation showed that a supervisor had administered medications without proof of passing the required written examination.

The facility failed to ensure that staff members administering medications were supervised by a qualified staff member prior to passing the state-approved medication aide written examination. Specifically, the Office Manager/Supervisor was administering medications and supervising staff despite not having passed the required state examination.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit. Observations revealed temperatures ranging from 123 to 139 degrees Fahrenheit at various sinks and showers throughout the home.

The facility failed to ensure that one of four sampled staff members had a North Carolina Health Care Personnel Registry check on file. While the staff member had signed an acknowledgment of the requirement, there was no documentation that the actual registry check had been completed at the time of the survey.

The facility failed to ensure that at least one staff person on the premises at all times had completed a CPR and choking management course within the last 24 months. Specifically, the live-in staff member's CPR certification had expired in March 2018.

The facility failed to ensure that one of four sampled staff members had a completed North Carolina Health Care Personnel Registry check in their personnel file. While the staff member signed an acknowledgment of the requirement, there was no documentation of the actual registry check being performed at the time of hire.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit at 6 out of 7 inspected fixtures. Specifically, temperatures at several bathroom sinks and the laundry room sink were recorded as high as 123.7 degrees Fahrenheit. Additionally, 'Caution Hot Water' signs were missing from the community bathroom bathtub, shower, and the laundry room sink.