Mcclain's Family Care Home #1

The facility failed to develop an individualized, written care plan within 30 days of admission for one of three sampled residents. While the resident's needs were assessed through observation, there was no documented care plan available for review in the resident's record.

The Administrator failed to ensure that facility policies and procedures were implemented to maintain compliance regarding resident rights. Specifically, there was no evidence of COVID-19 training for the Administrator or staff, and the facility lacked a COVID-19 plan or an isolation room for quarantining residents.

The Administrator failed to implement COVID-19 training for staff and failed to ensure facility policies followed CDC and DHHS guidance. Specifically, the facility lacked a COVID-19 plan, an isolation room, and failed to implement proper screening and PPE usage for staff, residents, and visitors.

The Administrator failed to maintain overall management and operations necessary to protect resident rights during the pandemic. This failure created a substantial risk of death or serious harm, abuse, or neglect for residents.

The facility failed to ensure that unlicensed staff had completed required training on the care of diabetic residents prior to administering insulin. Specifically, reviews of personnel records for three sampled staff members showed no documentation of completed training, despite records showing these individuals had administered insulin to residents.

The facility failed to ensure that Staff B had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) prior to employment. There was no documentation that an HCPR check had been completed for this staff member before they were hired.

The facility failed to ensure that Staff A had a statewide criminal background check completed upon hire. While a county-wide check was documented, there was no documentation of the required statewide criminal background check.

The facility failed to ensure that one of three sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) prior to employment. A review of the employee's record showed no documentation that an HCPR check had been completed before their hire date.

The provided text indicates the start of a deficiency regarding staff qualifications under regulation 10A NCAC 13G .0406(a)(7), though the specific findings for this tag were truncated in the provided document.

The facility failed to ensure medications were administered according to physician orders. Specifically, Resident #2 was not receiving prescribed diclofenac sodium 1% gel, and clindamycin ph gel was being administered without a physician's order.

The facility failed to ensure medications were administered as ordered by a licensed prescribing practitioner. Specifically, Resident #2 did not receive diclofenac sodium 1% gel as ordered due to a failure to process the order, and clindamycin ph gel was being administered without a valid physician order.