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Source: NC Division of Health Service Regulation
The facility failed to implement proper infection control and cohorting measures during a COVID-19 outbreak as recommended by the CDC and NC DHHS. Specifically, the facility did not ensure appropriate use of PPE, social distancing, or the separation of COVID-positive and COVID-negative residents and staff to reduce transmission risks.
The facility failed to implement CDC and NC DHHS guidance regarding COVID-19 protections, specifically concerning staff screening and the use of personal protective equipment. There was a lack of documented staff temperature monitoring and a failure to provide the facility's Infection Control Policy and Procedure upon request.
The facility failed to ensure that 2 sampled staff members completed a required two-step tuberculosis (TB) skin test. Specifically, for one medication aide, there was no documentation of a second TB skin test following the initial test performed in September 2019.
The facility failed to ensure that one of two sampled staff members completed a required two-step tuberculosis (TB) skin test. Specifically, personnel records for a medication aide showed a second step of the TB skin test was not documented following the initial test in September 2019.
The facility failed to ensure that one of two sampled staff members was tested for Tuberculosis upon hire. Specifically, a medication aide's personnel record showed no documentation of a required TB skin test following his hire date of 06/01/19.
The facility failed to ensure residents receive care and services that are adequate, appropriate, and in compliance with relevant federal and state laws and regulations.
The facility failed to ensure that all staff were properly tested for Tuberculosis. Specifically, one sampled staff member was hired without documentation of a required TB skin test upon hire.
The facility failed to ensure residents received care and services in compliance with state laws regarding medication aide training and competency. This was evidenced by a medication aide not completing the required state-approved training and competency evaluation.
The facility failed to ensure that a medication aide completed the required 5, 10, and 15-hour state-approved medication administration training course. Additionally, the staff member had not taken and passed the required medication aide test within 60 days of hire.
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