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Source: NC Division of Health Service Regulation
The facility failed to maintain the premises in a clean, orderly, and hazard-free manner. Specific issues included missing light bulbs and covers in bathrooms, puddles of yellow liquid on floors, broken furniture, and damaged window blinds and floor coverings.
The facility failed to maintain a clean, uncluttered, and hazard-free environment. Specific issues included a disconnected bed frame rail, a bent curtain rod, broken furniture, and various areas including resident rooms, the dining room, and bathrooms that were in need of cleaning.
The facility failed to maintain the home in a clean, uncluttered, and hazard-free manner. Specific issues included a disconnected bed frame rail, a bent curtain rod, broken dresser drawers, and missing light covers. Additionally, several resident rooms, the dining room, and bathrooms were found in need of cleaning due to dust, debris, and stains.
The facility failed to maintain current fire and building safety inspection reports. The fire inspection was found to be six months overdue, and the Administrator could not provide documentation of a current inspection.
The facility failed to maintain a clean, uncluttered, and hazard-free environment. Observations included a loose bathroom sink, a detached bed frame, dusty vents, soiled mattresses, and several rooms in need of cleaning.
The facility failed to maintain common bathrooms in a clean, orderly, and hazard-free manner. Observations revealed soap scum, debris, and urine odors in men's bathrooms, as well as orange-stained tiles and dried splatters in the women's bathroom. Additionally, a broken sink remained out of order for months, and a damaged floor tile exposed an uneven subfloor.
The facility failed to ensure that one sampled staff member, who had been employed for at least six months, had successfully completed the required 25-hour personal care training and competency evaluation. The Supervisor-in-Charge was performing various personal care tasks, such as assisting with hygiene and vital signs, without documented training.
The facility failed to ensure that annual medical examinations were completed and documented on the FL2 form for 2 of 3 sampled residents. Specifically, Resident #1's medical examination had not been updated since September 2013, despite the resident having physician visits in December 2014.
The facility failed to ensure that one sampled staff member, who had been employed for at least six months, had successfully completed the required 25-hour personal care training and competency evaluation program. The Supervisor-in-Charge was performing various personal care tasks without documented training.
The facility failed to ensure that annual medical examinations were completed and documented on the FL2 form for two of three sampled residents. Specifically, Resident #1 did not have an updated FL2 following their admission and subsequent physician visits.
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