North Pointe Assisted Living of Archdale

The facility failed to ensure a resident completed the required two-step tuberculosis (TB) skin testing upon admission. Specifically, documentation for Resident #2 showed a lack of a second-step TB test following their 2022 admission to the assisted living unit.

The facility failed to ensure that one of five sampled residents completed the required two-step tuberculosis (TB) skin testing upon admission. Records showed the resident had a first-step test but lacked documentation for the second step required by the regulation.

The facility failed to ensure proper referral and follow-up for a resident's health care needs regarding laboratory testing. Specifically, following a hospital discharge, there was no evidence of follow-up for a required complete blood count to monitor significantly low hemoglobin levels.

The facility failed to maintain the kitchen, dining, and food storage areas in a clean and protected state. Specifically, there was a build-up of dirt, grease, and food particles on the gas stove, double ovens, kitchen floor, and dishwasher drain, along with unwashed dishes and pots.

The facility failed to maintain the kitchen, dining, and food storage areas in a clean and orderly manner. Observations revealed a build-up of dirt, grease, and food particles on the gas stove, ovens, and kitchen floors, as well as unwashed dishes and dirty drains. Additionally, the three-compartment sink and counters were cluttered with dirty pots, pans, and utensils.

The facility failed to ensure the common shower and bathroom were kept clean and in good repair. Observations revealed dirty towels, broken whirlpool tub enclosures, cracked tiles with buildup in the grout, and a missing shower drain cover. Additionally, equipment such as the shower chair and shower curtain were found with black or reddish substances on them.

The facility failed to maintain the community bathroom in a safe and functional condition. Repairs are currently scheduled to address these issues, and the bathroom remains out of use until all repairs are completed.

The facility failed to ensure that maintenance items outside the scope of the maintenance designee are properly reported. The maintenance/designee is required to monitor and report any open maintenance items needing attention to the corporate Maintenance Supervisor.

The facility failed to ensure the Administrator follows up on outstanding maintenance issues. The Administrator is required to follow up with the Maintenance Supervisor on a weekly basis until all issues are resolved.

The facility failed to ensure that nutritional shakes were being administered to residents as ordered. The RCC or designee must monitor administration to ensure compliance with physician orders.

The facility failed to ensure that therapeutic diets, including nutritional supplements, were served as ordered by the resident's physician. Specifically, for one resident with an order for a daily nutrition shake, the medication administration records showed the supplement was not administered from December 3, 2018, through December 9, 2018.