Just Like Home Family Care

The facility failed to ensure that fire safety equipment was maintained in a safe and operating condition.

The facility failed to maintain a current annual fire inspection report and lacked documentation for quarterly fire drill rehearsals on each shift. Interviews revealed that while fire drills were conducted, they were not properly documented by the Administrator.

The facility failed to ensure that residents' FL2 medical examinations were updated annually. Specifically, record reviews for three sampled residents showed that their medical examinations had not been completed since 2022.

The facility failed to ensure that a staff member had a completed criminal background check available in their personnel file. For a medication aide hired in March 2022, there was no documentation of a criminal background check performed in accordance with G.S. 131D-40.

The facility failed to ensure that one of three sampled staff members had no findings listed on the North Carolina Health Care Personnel Registry. Specifically, there was no documentation of a required HCPR check for a medication aide hired in March 2022.

The facility failed to ensure that one of three sampled residents had completed required tuberculosis (TB) testing upon admission. While a skin test was placed, there was no documentation that the test was read or that subsequent testing was completed in compliance with required control measures.

The facility failed to ensure that one of three sampled staff members had a completed statewide criminal background check in their personnel record upon hire. The Administrator was responsible for reviewing records and ensuring these checks were documented.

The facility failed to maintain walls, ceilings, and floors in a clean and good state of repair. Specific issues included black smears and smudges on door moldings in resident room #2, pitted door frames and cracked flooring near the hearth in resident room #1, and gouges and missing paint in resident room #3.

The facility failed to maintain clean and good repair of walls, ceilings, and floors. Specific issues included heavily stained tile flooring, peeling paint, mold on shower curtains, and damaged wall moulding in bathrooms and resident rooms. Additionally, several rooms exhibited damaged door frames, cracked flooring near a fireplace, and unmaintained vents.

The facility failed to maintain clean and well-repaired walls, ceilings, and floors. Specific issues included heavily stained tile flooring, broken floor moulding, peeling paint, and black mold on a shower curtain in the resident bathroom. Additionally, resident bedrooms and hallways showed evidence of damaged door frames, cracked flooring near the hearth, and peeling paint.

The facility failed to ensure that two staff members (Staff A and Staff C) had a statewide criminal background check as required by law. Records showed that only local county searches had been completed, and the Administrator was unaware that the documentation provided was limited to a county-level search rather than a statewide one.