New Hanover House

The facility failed to maintain an environment free of hazards in the Special Care Unit (SCU). Specifically, personal care items were found in a resident's room, and tools, paint, and chemicals were left in the maintenance director's office in an unlocked and unsupervised area accessible to residents.

The facility failed to maintain an environment free of hazards. Specifically, personal care items, tools, paint, and chemicals were found in the maintenance director's office in the Special Care Unit, which was left unlocked and accessible to residents.

The facility failed to maintain an environment free of hazards in the Special Care Unit (SCU). Specifically, a shower room door was left unlocked and open, exposing resident products and a bottle of lotion with ingestion warnings to all residents.

The facility failed to maintain an environment free of hazards on the Special Care Unit (SCU). Specifically, personal care items were found accessible to residents, creating a potential ingestion risk.

The facility failed to ensure that three out of five sampled medication aides had proper employment verification or the required state-approved 5-hour, 10-hour, or 15-hour medication administration training documentation. Specifically, staff members were found to have completed online training without the required in-person instructor component or lacked the necessary certificates of completion.

The facility failed to ensure that medication aide personnel files contained the required 5, 10, or 15-hour training certificates. Some staff members were found to be working without documented proof of required training.

The facility failed to maintain up-to-date tuberculosis (TB) testing results in personnel files. Audit findings indicated that certain staff members were out of compliance with testing requirements.

The facility failed to ensure that all Assisted Living resident assessments were completed. A chart audit revealed that some resident assessments were missing or not properly documented in the Electronic Health Record.

The facility failed to properly document health care referrals and follow-up notifications to Primary Care Physicians (PCP). There was a lack of emphasis on documenting that residents' routine and acute health care needs were being communicated to their doctors.

The facility failed to ensure medications were administered as ordered and that the order processing system and documentation were accurate. Issues were identified regarding the consistency of medication administration records (MAR) and the effectiveness of medication cart audits.

Staff members were not consistently adhering to the six rights of medication administration. Re-education was required for Medication Aides, RCC, SCC, and the ED to ensure accuracy in medication delivery.

The facility failed to maintain an environment free of hazards by allowing personal care products to be accessible to residents in the Special Care Unit. Specifically, various hygiene products, including body wash, soap, and lotions, were found in resident rooms, bathrooms, and showers.

The facility failed to maintain an environment free of hazards, specifically leaving personal care hygiene products accessible to residents in the Special Care Unit. Observations identified items such as body wash, soap, moisturizer, and lotion left in resident rooms, showers, and on dressers.

The facility failed to ensure that one of five sampled residents was tested for tuberculosis disease upon admission in compliance with required control measures. Documentation for Resident #4 showed a TB skin test was administered after their admission date.