Rose Hill Nc Family Care Home

The facility failed to ensure that sliding scale insulin was administered to one resident as ordered by the physician. A review of medication records showed 12 instances where finger stick blood sugar results indicated a need for insulin, but the appropriate dose was not administered.

The facility failed to ensure sliding scale insulin was administered to a resident as ordered by the physician. Specifically, review of medication records showed multiple instances where insulin doses were administered outside of the prescribed parameters based on finger stick blood sugar results.

The facility failed to administer medications as ordered by a licensed prescribing practitioner for 2 of 3 sampled residents. Specifically, for Resident #1, the facility failed to document or provide a third daily dose of ferrous sulfate as required by the physician's order for every 8 hours.

The facility failed to ensure that 2 of 3 sampled residents were tested for Tuberculosis (TB) disease using the required 2-step testing method. Specifically, one resident's TB tests were administered more than two weeks apart, and another resident lacked documentation of a second TB skin test reading.

The facility failed to ensure that 2 of 3 sampled residents were tested for Tuberculosis (TB) disease using the required 2-step testing method. For one resident, the two TB tests were administered more than two weeks apart, and for another resident, there was no documentation that the second skin test was ever read.

The facility failed to notify the Division of Health Service Regulation that the evacuation capabilities of its residents had changed. Specifically, four out of six sampled residents were found to be intermittently or constantly disoriented and unable to evacuate without verbal prompting, whereas the license only accounts for ambulatory residents.