Knight's Family Care Home

The facility failed to ensure medication administration records (MAR) were complete and accurate for one resident. Specifically, Atorvastatin 20mg was not documented as administered on the MAR for the months of November 2024, December 2024, and January 2025, despite the medication being present in the resident's medication supply.

The facility failed to ensure medication administration records were complete and accurate for one resident. Specifically, the medication administration record (MAR) for Resident #1 lacked documentation for the administration of Atorvastatin 20mg throughout the months of November and December 2024.

The facility failed to document and return expired or discontinued controlled substances to the pharmacy for one resident. Specifically, multiple expired packs of Zolpidem 5mg were found in a locked box despite a physician's order for the medication being discontinued. The pharmacy confirmed that these substances had not been returned to them.

The facility failed to document and return expired controlled substances to the pharmacy within the required 90-day timeframe. Specifically, for one resident, medication cards for Zolpidem 5mg with dispense dates from 2019 and 2021 were found stored in a locked box instead of being returned or destroyed.

The facility failed to maintain medications under locked security. An unlocked office containing a medication cabinet was left unattended, and an overflowing cardboard box was found containing various prescription medications, including controlled substances, for both current and former residents.

The facility failed to ensure medications were maintained under locked security except when under direct physical supervision. Specifically, an unlocked office containing a medication cabinet was left unattended, and an overflowing cardboard box containing controlled substances, including 90 tablets of Ambien, was observed in the room.

The facility failed to implement CDC and NC DHHS guidance regarding the use of personal protective equipment (PPE) and face masks during the COVID-19 pandemic. Observations showed staff entering the facility and providing resident screening without wearing face masks. Additionally, interviews with residents confirmed that staff did not consistently wear masks while inside the facility.

The facility failed to implement and maintain recommendations from the CDC and NC DHHS regarding the use of personal protective equipment (PPE) and face masks by staff. Specifically, the facility did not ensure staff were wearing face masks to reduce the risk of COVID-19 transmission and failed to properly implement staff and resident screening protocols.