High Point Village

Facility has not had an annual inspection on the Emergency Responder Radio System.

Multiple penetrations in the laundry room wall (lower level).

Fire extinguishers in the memory care unit are locked and staff do not have keys.

The transfer switch room (lower level) does not have emergency battery backup lighting.

Memory care courtyard exit was blocked by a rock and lacks emergency unlocking signage.

Facility unable to provide documentation of an annual 90-minute battery backup light test within the last 12 months.

Facility has not had an annual inspection on the Emergency Responder Radio System.

Resident room 113 has an unapproved cube adapter in use.

The electrical room on the old side has electrical panels blocked with storage.

The facility was unable to provide their current hood cleaning report for their kitchen hood.

Laundry room - lower level has multiple penetrations in the wall.

The fire extinguishers in the memory care unit are all locked; staff do not have keys.

The transfer switch room (lower level) does not have emergency battery backup lighting.

The memory care courtyard exit was blocked with a rock and lacked required emergency signage.

The facility was unable to provide documentation for an annual 90-minute test of battery backup lights within the last 12 months.

The licensee failed to ensure four residents kept all their resident-controlled medications in a locked location.

The licensee failed to ensure one staff who tested positive for Tuberculosis (TB), obtained and followed the recommendation of their health care provider.

Facility failed to ensure 4 of 4 residents kept controlled medications in a locked location, risking unauthorized access.

Failed to ensure 1 of 1 staff (Staff C) who tested positive for TB received a chest X-ray within seven days and followed health care provider recommendations.

Medicaid Disclosure form was printed in an incorrect font size smaller than the required 14-point font.

Hazardous art and craft supplies were found in unlocked cabinets in the activity room.

Failed to ensure 1 of 3 care staff (Staff E) completed the two-step TB test within the required time frame.

Failed to ensure 4 of 4 staff (Staff L, M, N, O) followed proper infection control practices (hand hygiene and glove use) during care services.

Inoperable vents found in one resident room, the first-floor laundry room, and the third-floor housekeeping room.

Failed to ensure 1 of 1 caregiver (Staff E) completed HCA certification within 200 days of hire.

Failed to ensure 1 of 1 resident (Resident 7) received medication administration by a licensed nurse or nurse-delegated staff.

Hot water temperatures in four rooms were not maintained between 105 and 120 degrees Fahrenheit.

Facility failed to ensure 1 staff member who tested positive for TB obtained and followed their healthcare provider's recommendation.

Failed to document service plans, care needs, interventions, and monitoring requirements for 4 of 9 sampled residents.

First-aid kits were not clearly identified or readily available throughout the facility.

Facility failed to include transmission of fire alarm signals during fire drills.

Unapproved multi-plug adapters in use in Med room and Resident room 7.

Extension cords in use on patio, court yard, and in resident room 7.

Fridge, microwave, and coffee pot plugged into a power strip in the Wellness Center.

No documentation for annual/semi-annual hood cleaning.

No record of annual fire wall inspection/repairs.

Broken door hardware on the back kitchen exit.

Sprinkler head obstructions in PPE storage and kitchen cooler.

Missing documentation for annual and quarterly sprinkler inspections.

No documentation for current kitchen suppression servicing.

No documentation for smoke detector sensitivity test.

Painted and loaded sprinkler heads identified, and a bent deflector in the hall.

Penetration in maintenance office door; large gaps in various fire doors.

The facility is missing fire drills for 1st quarter day shift and 4th quarter swing shift.

Facility unable to provide documentation for their last smoke detector sensitivity test.

Found painted sprinkler heads (dining room tables 5 and 12, reception area), loaded sprinkler heads (dining room table 5, dining room outside patio), and a bent sprinkler head deflector in the hall by room 34.