Mclamb's Rest Home

The facility failed to maintain hot water temperatures at resident-accessible fixtures within the required range of 100 to 116 degrees Fahrenheit. Specifically, five out of seven inspected fixtures exceeded the maximum temperature, with some temperatures reaching as high as 121.9 degrees F and producing visible steam.

The facility failed to maintain hot water temperatures at resident-accessible fixtures between 100 and 116 degrees Fahrenheit. Multiple bathroom sinks and tub/shower fixtures were observed with temperatures exceeding 116 degrees F, including one instance of 123.4 degrees F with visible steam.

The facility failed to ensure quarterly Licensed Health Professional Support (LHPS) evaluations were completed for sampled residents. Specifically, for Resident #3, there was no documentation of quarterly LHPS reviews and evaluations following the evaluation dated 05/03/21.

The facility failed to ensure quarterly Licensed Health Professional Support (LHPS) evaluations were completed for sampled residents. Specifically, there was no documentation of required LHPS tasks, such as fingerstick blood sugar testing and medication administration via injection, for several residents following a change of ownership.

The facility failed to ensure that 2 of 5 sampled staff members were tested for tuberculosis disease in compliance with required control measures. Specifically, one staff member had a TB skin test read outside the required 48-72 hour timeframe, and another staff member had not completed the required second step of the TB skin test.

The facility failed to ensure that 2 of 5 sampled staff members were tested for tuberculosis disease upon employment in compliance with required control measures. Specifically, one staff member had a TB skin test read outside the required 48-72 hour timeframe, and there was no documentation of subsequent required testing.

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. A review of the personnel file for Staff A showed no documentation of a required HCPR check being completed at the time of hire.

The facility failed to ensure that two of three sampled staff members (Staff A and Staff C) had a criminal background check upon hire in accordance with state law. Review of Staff A's personnel file revealed no evidence of a completed criminal background check.