Pen-Du Rest Home

The facility failed to develop an individualized, written care plan for one of three sampled residents within 30 days of admission. Specifically, Resident #2, who was admitted on 12/06/22, had no care plan on file at the time of the survey despite having documented diagnoses and functional limitations.

The facility failed to ensure that an appropriate licensed health professional participates in the onsite review and evaluation of the residents' health status, care plan, and care provided for residents requiring specific personal care tasks.

The facility failed to develop an individualized, written resident care plan for one of three sampled residents within 30 days of admission. Specifically, Resident #2, who was admitted on 12/06/22, had no care plan on file as of 08/08/23 despite requiring assistance with activities of daily living and receiving hospice services.

The facility failed to store foods in a manner to prevent contamination. Observations in the pantry closet revealed that opened items, such as hushpuppy mix and angel hair pasta, were not labeled with their contents or the date they were opened.

The facility failed to ensure that three out of five sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR). Specifically, there was no documentation of HCPR checks for a Medication Aide and a staff member working as a PCA, maintenance, cook, and medical transport staff.

The facility failed to ensure that all staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry. Specifically, documentation of required HCPR checks was missing for 3 of 5 sampled staff members, including a Medication Aide and a Personal Care Aide.

The facility failed to ensure that mandatory state-approved annual infection control/prevention training was completed for 2 of 2 sampled Medication Aides. Personnel records for Staff A and Staff B lacked documentation of required annual infection control training after their last recorded completions in 2014.

The facility failed to ensure that mandatory state-approved annual infection control/prevention training was completed for two sampled Medication Aides. Specifically, one staff member's record showed no documentation of annual training completion since February 2014.