Mocksville Senior Living and Memory Care

The facility failed to report injuries of unknown origin to the Health Care Personnel Registry (HCPR) for 8 out of 8 sampled residents. Evidence from text messages showed various bruises and skin tears occurring between August 2024 and December 2024, but no corresponding incident reports or HCPR notifications were documented.

The facility failed to report injuries of unknown origin to the Health Care Personnel Registry (HCPR) for 8 out of 8 sampled residents. Evidence from text messages showed various bruises and broken skin on residents, yet no corresponding incident reports were found in the facility's records for these injuries.

The facility failed to ensure that 8 ounces of milk or equivalent dairy products were served three times daily to 13 of 14 residents in the Special Care Unit. Observations and interviews revealed that while milk was available, it was not consistently served during lunch services, and staff were unaware of the requirement to serve dairy at all three meals.

The facility failed to serve therapeutic diets as ordered by the resident's physician. Specifically, a resident ordered for a pureed diet was served a meal containing non-pureed items and inappropriate substitutions, such as coleslaw instead of a cooked vegetable.

The facility failed to ensure immediate reporting of assaults resulting in harm to residents or others to local law enforcement. Additionally, there was a lack of consistent incident reporting for behavioral incidents involving physical aggression and a lack of quarterly staff training regarding resident rights in the Special Care Unit.

The facility failed to immediately report an incident of physical assault involving a resident and a staff member to local law enforcement. While the facility documented the incident and monitored the resident, the required notification to authorities was not performed.

The facility failed to administer medications as ordered for one resident regarding a change in carvedilol dosage. While the physician's orders and medication lists indicated an increase from 12.5mg to 25mg twice daily, the Medication Administration Record (MAR) continued to reflect the old 12.5mg dose, and the correct 25mg dose was not available for administration.