Hobbs Helping Hands

The facility failed to maintain an annual North Carolina Division of Public Health Environmental Health inspection. The most recent inspection on record was dated 12/20/22, and the administrator had not contacted the inspector to schedule a new inspection following necessary repairs.

The facility failed to ensure medication administration records (MAR) were accurate for one of three sampled residents. Specifically, there was inaccurate documentation regarding a medication used to treat urinary retention.

The facility failed to maintain an annual North Carolina Division of Environmental Health sanitation classification. The most recent inspection on record was dated 12/20/22, and the Administrator could not confirm when the last contact with the county Sanitation Inspector occurred.

The facility failed to administer medications as ordered for 2 of 3 sampled residents, specifically including a medication used to treat urinary retention. For Resident #2, the facility failed to provide alfuzosin 10mg daily despite an active order, resulting in the medication being unavailable during observation. The error was compounded by a failure to reconcile medication deliveries with the medication administration record.

The facility failed to administer medications as ordered for 2 of 3 sampled residents, specifically involving a medication used to treat urinary retention. For Resident #2, although a new medication (alfuzosin) was ordered and documented as administered on the MAR, an on-site observation revealed the medication was not physically present at the facility.

The facility failed to ensure that one of three sampled staff members had completed required training on the care of diabetic residents prior to administering insulin. Specifically, a rehired Medication Aide had been administering insulin without documented diabetic care training or a completed clinical skills checklist.

The facility failed to ensure that a staff member (Staff B) had completed required training on the care of diabetic residents prior to administering insulin. Specifically, no documentation of diabetic care training was found in the personnel record for this staff member despite them being validated to administer insulin since being rehired.