Rivers Edge of Lumberton

The facility failed to ensure that two of three sampled staff members who administered medications had completed the required state-approved 5-hour, 10-hour, or 15-hour medication aide training and passed the written examination. Specifically, training certificates lacked required trainer signatures, and there was no documentation that the staff members had passed the required medication aide test.

The facility failed to ensure that 2 of 3 sampled medication aides completed the required state-approved training and passed the written examination prior to administering medications. Specifically, staff records lacked trainer signatures on training certificates and documentation of passed medication aide tests.

The facility failed to maintain a safe environment free of hazards in the Special Care Unit and Assisted Living Unit. Specifically, residents in the SCU had access to hazardous items such as aerosol air freshener, mouthwash, and pressurized shaving cream. Additionally, oxygen canisters were not properly stored in a storage closet within the AL Unit.

The facility failed to maintain a safe environment free of hazards in the Special Care Unit and Assisted Living Unit. Specifically, residents in the Special Care Unit had access to hazardous items such as aerosol air fresheners, mouthwash, and flammable body sprays. Additionally, oxygen canisters were not properly stored in a storage closet in the Assisted Living Unit.

The facility failed to ensure the Assisted Living unit was free of hazards by not properly storing oxygen canisters in a storage closet. Specifically, the storage closet door was unlocked, and four oxygen canisters were found sitting unsecured in the room without a container or transport stand.

The facility failed to ensure that one of five medication aides who administer medications independently passed the required written examination within 60 days of completing training and skills validation.

The facility failed to ensure proper referral and follow-up for a resident's healthcare needs. Specifically, a physician's order for home health nursing catheter care dated 12/16/20 was not communicated to the home health agency, resulting in a delay in services. This failure contributed to a resident developing a urinary tract infection (UTI) after their catheter was accidentally removed.

The facility failed to ensure proper referral and follow-up to meet the healthcare needs of a resident. Specifically, there was a failure regarding a home health referral for urinary catheter care and a lack of provider notification regarding a delay in home health wound care.

The facility failed to provide adequate supervision for a resident in accordance with her assessed needs and current symptoms. Specifically, a resident with a history of seizures, Alzheimer's, and limited mobility fell or was found on the floor on four separate occasions between October and November 2019.