Pruittplace-Winston Salem

The facility failed to maintain the environment in a safe and orderly manner by leaving unsecured oxygen cylinders on the floor in a resident's room. Specifically, four oxygen cylinders were found placed directly on the floor inside the entry hallway instead of being secured in a storage rack.

The facility failed to ensure health care referral and follow-up for a resident following a hospital discharge. Specifically, there was no documentation that the resident received the ordered physical therapy (PT) or occupational therapy (OT) evaluations and treatments required to address repeated falls and poor vision.

The facility failed to ensure proper health care referral and follow-up for a resident following an order for physical and occupational therapy evaluations. Specifically, the facility did not facilitate the required follow-up care related to the resident's needs after documented falls and injuries.

The facility failed to ensure appropriate follow-up with a physician for a resident with elevated blood pressure readings. Specifically, after a resident was sent to the emergency department for evaluation, the facility failed to adhere to the physician's orders for frequent blood pressure monitoring and notification parameters.

The facility failed to ensure the accuracy of resident orders during the medication administration process.

The facility failed to ensure follow-up with a physician for a resident who required blood pressure monitoring. Specifically, for one sampled resident with hypertension and syncope, the facility did not maintain appropriate follow-up for blood pressure checks with parameters.

The facility failed to ensure that therapeutic diet menus matched the specific therapeutic diets offered by the facility.

The facility failed to ensure that water was served to each resident at every meal.

The facility failed to ensure that therapeutic diet menus were properly matched to the therapeutic diets ordered by a resident's physician.

The facility failed to ensure that a medication aide had completed a Clinical Skills Competency Validation Checklist prior to administering medications. During a medication pass, an agency staff member was observed administering various medications without documentation of facility-specific competency validation.

The facility failed to ensure that a medication aide (Staff B) had a completed Medication Aide Clinical Skills Competency Validation Checklist on file prior to administering medications. Although the staff member was on the State's Medication Aide Registry, there was no documentation of the required facility-specific clinical skills validation.

The facility failed to ensure required medication aide training was completed for staff members. Specifically, one medication aide had not completed the 5-hour training prior to administering medications, and another had not completed the required 10-hour training within 60 days of hire.