Rose Care Homes 3

The facility failed to ensure that electronic medication administration records (eMAR) were accurate for one of two sampled residents. Specifically, the records did not properly reflect the accuracy required for medication administration documentation.

The facility failed to ensure the electronic medication administration records (eMAR) were accurate for a resident. Specifically, the eMAR showed Niacinamide was administered daily through May 2025, despite a physician's order to discontinue the medication on 03/25/25.

The facility failed to ensure that the results of the tuberculosis test and mental health examination are reviewed by the administrator or designee before admission or upon reassessment. Documentation of this review was missing for the resident's medical record.

The facility failed to ensure that tuberculosis testing and mental health examination results were entered into the medical record before admission or upon reassessment. Specifically, the results for the complete examination were not documented in the resident's medical record as required.

The facility failed to ensure that the results of the tuberculosis test and mental health examination are reviewed by the administrator or designee before admission or upon reassessment. Documentation of this review was missing for the resident's medical record.

The facility failed to ensure that the results of the tuberculosis test and mental health examination are reviewed by the administrator or designee before admission or upon reassessment. Documentation of this review was missing for the resident's medical record.

The facility failed to ensure appropriate placement for a resident according to their physician-signed medical examination (FL-2). Specifically, the resident's FL-2 recommended a memory care level of care due to Alzheimer's and wandering behavior, but the facility's care plan and observations did not align with these requirements.

The facility failed to ensure that one of two sampled staff members had no substantiated findings on the North Carolina Health Care Personnel Registry (HCPR) prior to being hired. Specifically, a personal care aide had been working at the facility for approximately ten days before the required HCPR check was completed and documented.

The facility failed to ensure that a sampled staff member had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR) prior to hire. Specifically, the personnel record for Staff B lacked a documented hire date, and the administrator failed to complete required background checks before the employee began working.

The facility failed to ensure that one of three direct care staff members was tested for tuberculosis disease upon hire. Personnel records and staff interviews confirmed there was no documentation of a TB skin test or screening performed for the employee.