L & L Family Care

The facility failed to maintain a current North Carolina Division of Environmental Health approved sanitation classification. An inspection on 04/15/25 revealed no sanitation inspections were posted, and the Facility Manager was unaware of the requirement to schedule these inspections.

The facility failed to ensure a current North Carolina Division of Environmental Health approved sanitation classification was issued. An inspection on 04/15/25 revealed no sanitation inspections were posted in the facility.

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The facility failed to ensure that therapeutic menus were planned or reviewed by a Registered Dietician. There was no menu available in the kitchen for staff to reference during meal preparation, and the facility was using a handwritten menu obtained from another facility.

The facility failed to ensure that therapeutic menus were planned or reviewed by a Registered Dietitian (RD). There was no menu available in the kitchen for staff reference, and the Administrator admitted to using a handwritten menu from another facility without professional review.

The facility failed to ensure the implementation of a physician's order for daily finger stick blood sugar (FSBS) checks for one resident. While the resident was permitted to self-administer, there was no documentation in the medication administration records to confirm the daily checks were being performed as ordered. Staff, including the Administrator and Supervisor-in-Charge, were unaware of the specific frequency required by the physician's orders.

The facility failed to ensure the implementation of physician orders for one resident regarding daily finger stick blood sugar (FSBS) checks. Medication administration records for March through May 2021 showed no documentation of these daily checks being performed or recorded.

The facility failed to ensure that two Medication Aides had completed the state-mandated annual infection control training. Personnel records showed that one staff member had not completed the required training since April 2016.

The facility failed to maintain an accurate and readily retrievable controlled substance log for a resident receiving Clonazepam. Specifically, pharmacy-supplied logs for November and December 2017 were blank, and no log existed for January 2018, despite medication being administered.

The facility failed to maintain a readily retrievable and accurate record of controlled substances for a resident prescribed Clonazepam. Specifically, pharmacy-labeled control logs for November and December 2017 were blank, no log existed for January 2018, and there was no documentation of the receipt of the medication.