Merrywood on Park

The facility failed to ensure a yearly assessment was completed for one of three sampled residents. Specifically, the resident's functional assessment (FL2) had not been updated since August 2023, making it overdue by more than a year.

The facility failed to ensure quarterly licensed health professional support (LHPS) evaluations were completed by an appropriate licensed professional. For one sampled resident requiring LHPS tasks, the required quarterly reviews were not documented as completed.

The facility failed to ensure a yearly functional assessment was completed for one of three residents reviewed. Specifically, Resident #3's assessment was not updated by the required anniversary of their admission date.

The facility failed to ensure that 3 out of 4 sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry prior to being hired. Specifically, documentation of a registry check was missing for one staff member's pre-hire process.

The facility failed to ensure that 3 out of 4 sampled staff members had a North Carolina Health Care Personnel Registry (HCPR) check completed prior to their date of hire. Documentation was missing for an independent living concierge and two medication aides, although subsequent checks were performed later.

The facility failed to administer medications as ordered by a licensed prescribing practitioner for one resident. Specifically, staff administered Benazepril HCL and Metoprolol Succinate despite blood pressure and heart rate readings that met the 'hold' criteria specified in the physician's orders.

Medication Technicians failed to follow specific parameters for administering medications used to treat hypertension. Specifically, medications including Benazepril HCL and Metoprolol Succinate ER were administered to a resident despite blood pressure and heart rate readings falling below the prescribed hold thresholds.

The facility failed to ensure that all current orders for medications or treatments were reviewed and signed by the resident's physician or prescribing practitioner at least every six months. Specifically, for one resident, several medications on hand for self-administration, including Levofloxacin, Lorazepam, Tramadol, Norco, and Clonazepam, lacked corresponding physician orders.

The facility failed to ensure that 3 out of 3 sampled Medication Aides hired after 10/1/13 had successfully completed the required 15-hour medication administration training program. Specifically, records for Staff A showed no documentation of completion for the 5-hour, 10-hour, or 15-hour training programs or employment verification.