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Source: NC Division of Health Service Regulation
The facility failed to ensure that 2 of 3 sampled residents were tested for Tuberculosis (TB) disease in compliance with required guidelines. Specifically, one resident lacked documentation of a chest x-ray or positive skin test despite a history of TB, and another resident lacked documentation of the required second-step tuberculin skin test.
The facility failed to maintain adequate tuberculosis documentation for Resident #1, specifically lacking a record of a chest x-ray or a positive tuberculin skin test despite the resident's known history of tuberculosis. Additionally, the Supervisor in Charge admitted to not auditing resident records for a period of time, leading to incomplete medical screening documentation.
The facility failed to ensure proper tuberculosis screening protocols were followed for Resident #2, as the Supervisor in Charge was unaware that a second-step tuberculin skin test was required. The facility's oversight was compounded by a lack of recent audits of resident medical records to ensure all necessary documentation was present.
The facility failed to maintain electrical equipment in a safe condition due to the use of an extension cord in the dining room. Specifically, a lamp was found plugged into an extension cord, which was then plugged into a surge protector and a wall socket.
No deficiencies are reported in this inspection record.
The facility lacked a consistent system for tracking returned medications to the pharmacy and was not properly documenting the specific dates of medication administration on pill packs.
The facility failed to maintain complete resident records, specifically lacking the necessary documentation such as the FL-2, Resident Register, Care Plan, and TB test results within the sign-in book during respite stays.
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