Mill Creek Manor

The facility failed to ensure that all residents had a completed care plan updated annually. Specifically, a review of sampled residents revealed that 2 out of 5 residents did not have a care plan completed on an annual basis.

The facility failed to ensure that one of three sampled staff members had no substantiated findings on the North Carolina Health Care Personnel Registry (HCPR) prior to hire. The personnel record for the staff member lacked a documented hire date, an application for employment, and evidence that an HCPR check was completed before they began working.

The provided text is truncated and does not contain the full description of the deficiency for this tag; however, the regulation requires the facility to develop and implement resident-centered care plans based on assessments.

The facility failed to ensure that 2 of 5 sampled residents had completed required tuberculosis (TB) testing in compliance with established control measures. Specifically, one resident lacked documentation of a second-step TB test, and another resident had no documentation of either a first or second TB skin test.

The facility failed to ensure a qualified food service supervisor was in place. The Administrator was found preparing food in the kitchen, and the facility lacked a Dietary Manager and a dietitian to meet the dietary needs of residents.

The facility failed to ensure physician orders were implemented for a resident requiring antibiotics for a urinary tract infection. Although orders for Cefpodoxime and Cefdinir were present in the eMAR, the medication was not available on the medication cart because it was held at the pharmacy and never picked up.

The facility failed to ensure a qualified food service supervisor was in place to consult with a licensed dietitian/nutritionist. Observations showed the Administrator was preparing food in the kitchen, and the facility lacked a Dietary Manager and access to a dietitian for therapeutic menus.

The facility failed to ensure that physician's orders and written procedures or treatments were properly documented and implemented in the residents' records.

The facility failed to ensure a qualified food service supervisor was in place to consult with a dietitian regarding resident dietary needs. The facility lacked a Dietary Manager, and the staff overseeing the kitchen lacked necessary ServeSafe certification and had not requested therapeutic diet menus.

The facility failed to provide adequate health care follow-up for a resident with a history of seizures and an implanted vagal nerve stimulator. Specifically, there were no physician orders for device use, a missed neurology appointment, and a failure to notify the neurologist of recent head trauma.

The facility failed to ensure proper referral and follow-up with a physician for a resident regarding medication needs. Specifically, the facility did not notify the physician when a resident missed multiple doses of sevelamer carbonate used to control serum phosphate levels, chronic pain, and constipation.

The facility had a previously reported deficiency that was corrected as of 12/22/2020.

The facility had a previously reported deficiency that was corrected as of 12/22/2020.