House of Peace Family Care Home

The facility failed to ensure evacuation capabilities for residents with cognitive impairments and physical assistance needs were in accordance with its licensed capacity. Specifically, the facility was licensed for ambulatory residents only, but was housing residents requiring physical assistance and cognitive support.

The facility failed to ensure that the evacuation capabilities for two residents with cognitive impairments and physical assistance needs were in accordance with the facility's licensed capacity for ambulatory residents. Specifically, residents were observed using equipment and requiring levels of care that exceeded the facility's licensed ambulatory status.

The facility failed to ensure that at least one staff person on the premises at all times had completed a course on cardio-pulmonary resuscitation (CPR) and choking management within the last 24 months. Specifically, one of three staff members (Staff A) was working with an expired CPR certification. Records showed the staff member worked alone in the building for 12 shifts after the certification had expired.

The facility failed to ensure at least one staff person on the premises at all times had completed a CPR and choking management course within the last 24 months. Specifically, one of three staff members was working with an expired certification, and records showed this staff member worked alone for 12 shifts after the certification had lapsed.

The facility failed to ensure that 2 of 4 sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry. Specifically, staff members were found to be working with residents before their background checks were verified or completed.

The facility failed to ensure that 1 of 4 sampled medication aides completed the required 15-hour medication administration training program within 60 days of hire. Documentation showed the staff member had not completed the necessary training and examination requirements within the mandated timeframe.

The facility failed to ensure that all staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry. Specifically, 2 of 4 sampled staff members were found to have started working with residents before their registry checks were completed or verified.