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Adult Family Home

Hines Family Care Home

2224 Manchester Street, Winston-Salem, NC 271056 bedsLicensed & Active
Source: NC DHSR — view official record

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State Inspection History

State Inspections

Source: NC Division of Health Service Regulation

3total
4deficiencies
Mar 19, 2019Follow-up
Other Staff Qualifications10A NCAC 13G .0406

The facility failed to ensure that 2 of 4 sampled staff members, specifically Staff B and the Manager, had a criminal background check completed upon hire. There was no documentation of the background checks or the required signed consent forms in their personnel records.

Tuberculosis Test and Medical Examination10A NCAC 13G .0702

The facility failed to ensure that 1 of 3 sampled residents received the required follow-up tuberculosis testing after admission. While Resident #3 had one negative skin test documented prior to admission, there was no documentation of a second skin test completed after admission to the facility.

Mar 19, 2019Follow-up
Other Staff QualificationsC 147

The facility failed to ensure that 2 of 4 sampled staff members, specifically Staff B and the Manager, had a criminal background check on file upon hire. Personnel records for these individuals lacked both documentation of the completed background checks and signed consent forms.

Jun 7, 2016Other
ACH Infection Prevention RequirementsC 934

The facility failed to ensure that 2 out of 3 sampled Medication Aides had completed the mandatory annual state infection control training course. Personnel records for Staff A and Staff C lacked documentation of the required training for the current period.

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