Lily's Blessings Family Care Home

The facility failed to ensure that one of three sampled staff members had completed the required medication aide training, written examination, and clinical skills competency validation. Additionally, there was no documentation of employment verification for the staff member in the personnel record.

The facility failed to ensure that a staff member performing medication administration had completed required training, clinical skills validation, and the written examination. Personnel records for Staff A lacked documentation for the medication aide exam, employment verification, and medication training hours. Additionally, resident interviews confirmed that this unqualified staff member was actively administering medications.

The facility failed to notify the Division of Health Service Regulation that the evacuation capabilities of residents had changed. Specifically, two residents with cognitive impairments were identified who could not independently evacuate, which differs from the facility's license for six ambulatory residents.

The facility failed to notify the Division of Health Service Regulation that the evacuation capabilities of two residents had changed. Specifically, two residents with cognitive impairments required physical assistance or verbal prompting to evacuate, which differed from the facility's license for six ambulatory residents.

The facility failed to ensure that residents' evacuation capabilities were in accordance with the capabilities listed on the current license. Two of five sampled residents required verbal prompting to exit the facility during a fire drill due to cognitive and/or physical impairments.

The facility failed to perform a pre-employment North Carolina Health Care Personnel Registry (HCPR) check for one staff member prior to their date of hire. While a previous check from another facility was present in the record, the facility did not verify the individual's status through a new check upon employment.

The facility failed to perform a North Carolina Health Care Personnel Registry (HCPR) check for one of three sampled staff members prior to their date of hire. While a previous check from another facility was present, the facility did not conduct its own required pre-employment screening.

The facility failed to ensure that one of three sampled staff members had completed competency validation for Licensed Health Professional Support (LHPS) tasks. Specifically, there was no documentation of completed validation for tasks such as finger sticks, insulin injections, use of assistive devices, and application of anti-embolic stockings.

The facility failed to maintain a controlled substance log to record the receipt, administration, and disposition of medications for two residents. This resulted in the unaccountability of 57 Norco tablets for Resident #2 and an inability to verify the correct quantity of Ativan on hand for Resident #1.

The facility failed to maintain a control log to record the receipt, administration, and disposition of controlled substances for two residents. This resulted in the unaccountability of 57 Norco tablets for one resident and an inability to verify the available quantity of Ativan for another resident.