Hot Springs Family Care Home #1

The facility failed to ensure that one of three sampled staff members completed a required two-step tuberculosis skin test. Personnel records showed only the initial test was documented, and management admitted to a lack of oversight in scheduling the follow-up testing.

The facility failed to maintain cleanliness and good repair of various items, including a living room window screen, a box fan, and tile grout in two common bathrooms. Specific issues included blown light bulbs, loose toilet armrests, missing floor tile, and buildup of dirt, dust, and soap scum on surfaces.

The facility failed to maintain clean and well-repaired surfaces and equipment. Specific issues included a dirty window screen, a dusty and grimy box fan, uncleaned tile grout in bathrooms, blown light bulbs, and missing floor tiles.

The facility failed to ensure that at least one staff person on the premises at all times had completed a course on CPR and choking management within the last 24 months. Specifically, documentation for two sampled staff members (Staff A and Staff B) could not be provided to verify successful completion of the required training.

The facility failed to maintain current sanitation and fire/building safety inspection reports. Specifically, there was no current sanitation inspection report available from the Division of Environmental Health, with the last inspection having occurred in July 2014.

The facility failed to keep floors in good repair and clean. Observations revealed that the tiled floors at the base of toilets in two resident bathrooms were discolored and stained with a heavy dark brown ring.

The facility failed to maintain clean kitchen and food storage areas. The base of 21 cabinet doors had a build-up of a thick, dark, sticky substance, and the interior of the oven and oven door had a heavy build-up of dark burned-on debris.

The facility failed to maintain a current sanitation inspection report from the North Carolina Division of Environmental Health. Records showed the last inspection occurred in July 2014, and the facility had no current report available for review.

The facility failed to keep floors clean and in good repair. Observations of two resident bathrooms revealed that the tiled floors at the base of both toilets were discolored and stained with heavy dark brown rings.

The facility failed to ensure that a staff member (Staff A) had a current North Carolina Health Care Personnel Registry (HCPR) check on file. Although the staff member had worked at the facility previously, no recent check was conducted upon their return to work in January 2015.

The facility failed to comply with requirements regarding the examination and screening for the presence of controlled substances for applicants for employment. (Note: The provided text truncates before the specific deficiency finding for this tag is fully detailed, but the regulatory requirement is identified.)