Heritage Care of Conover

The facility failed to ensure that rapid-acting insulin (SSI) was administered within the appropriate time frame prior to meals for Resident #5. Specifically, insulin was administered more than 30 minutes too early in 10 instances and after meals in 6 instances. Additionally, the facility lacked a written policy specifically addressing sliding scale insulin administration.

The facility failed to ensure that rapid-acting insulin was administered within the appropriate time frame prior to meals for Resident #5. The facility lacked a written policy regarding sliding scale insulin (SSI) administration and failed to ensure medication timing aligned with the physiological onset of the insulin.

The facility failed to protect food from contamination by storing raw and uncooked foods above fresh produce in the kitchen refrigerator. Specifically, raw eggs were stored above cut watermelon, and uncooked breakfast sausage was stored above fresh produce and cantaloupes.

The facility failed to ensure medication orders were clarified with the prescribing practitioner for three out of six sampled residents. This involved orders related to controlling blood sugar, preventing constipation, and treating neuropathy.

The facility failed to protect food from contamination by storing raw and uncooked foods above fresh produce in the kitchen refrigerator. Specifically, raw eggs were stored above cut watermelon, and uncooked breakfast sausage was stored above fresh produce and cantaloupes.

The facility failed to maintain the home in an uncluttered and safe manner regarding the storage of portable oxygen cylinders. Specifically, six small oxygen tanks were stored on the floor outside of safety containers, and staff demonstrated a lack of knowledge regarding proper storage protocols and safety procedures.

The facility failed to maintain the home free of hazards due to improperly stored portable oxygen cylinders. Specifically, oxygen tanks were stored in a community bathroom closet without safety containers, creating a risk of the tanks falling and becoming dangerous projectiles.

The facility failed to ensure acute health care needs were met for two residents with physician orders for continuous and portable oxygen. The facility did not properly refer or follow up with the physician and the durable medical equipment company to manage these requirements.

The facility failed to maintain the home in an uncluttered and safe manner regarding the storage of portable oxygen cylinders. Specifically, six small oxygen tanks were stored on the floor outside of safety containers, and staff demonstrated a lack of knowledge regarding proper upright storage and safety protocols.

The facility failed to maintain hot water temperatures at a minimum of 100 degrees Fahrenheit in 3 of 12 sampled faucets. Specifically, temperatures in the women's shower, men's tub, and men's shower were found to be below the required threshold. Residents also reported that showers were frequently too cold.