Johnson Better Care Facility INC

The facility failed to maintain a safe environment by leaving eight oxygen tanks unsecured on the floor in a resident's room. The tanks were not placed in a proper rack or no-tip container, creating a potential hazard.

The facility failed to ensure necessary follow-up medical care for a resident by not completing referrals for dental and ENT specialist evaluations. This failure prevented the resident's acute health care needs from being met following a hospital discharge.

The facility failed to maintain a safe environment by leaving oxygen tanks unsecured in a resident's room. Eight oxygen tanks were observed on the floor without a rack or no-tip container, posing a potential hazard.

The facility failed to ensure medications were administered as ordered for one resident. Specifically, a medication for underactive thyroid disease (Levothyroxine) was administered at 7:17am while the resident was eating breakfast, violating the physician's order to administer the medication on an empty stomach.

The facility failed to ensure medications were administered according to physician orders. Specifically, during a medication pass on 02/09/23, a resident's Levothyroxine was administered with breakfast instead of on an empty stomach as required by the order.

The facility failed to implement CDC and NC DHHS guidelines regarding the screening of staff and visitors for COVID-19 symptoms. Specifically, staff did not initiate temperature checks or screening questions upon the surveyor's entry, and there was no hand sanitizer or screening station available near the front entrance. Additionally, the front door was found unlocked, and the facility failed to ensure all essential visitors were screened for fever and symptoms.

The facility failed to implement CDC and NC DHHS guidelines for COVID-19 protection regarding the screening of staff and visitors. Specifically, the facility did not ensure all access points were screened, failed to check temperatures/symptoms upon entry, and lacked a hand sanitizer station near the front entrance.

The facility failed to implement CDC and NC DHHS guidance regarding COVID-19 infection control. Specifically, the facility did not maintain proper screening protocols for staff and visitors to monitor for symptoms and fever.

The facility failed to ensure all residents had appropriate call bells and adequate supervision for medical needs, specifically regarding a resident prone to nocturnal hypoglycemia. The facility had not previously evaluated all residents for the need for bells or assessed their evacuation and fall capabilities.