Senior Citizens Village

The facility failed to ensure that 3 of 6 sampled staff members had no substantiated findings on the North Carolina Health Care Personnel Registry (HCPR) upon hire. Specifically, personnel records for Staff B and Staff D lacked documentation proving an HCPR review was completed at the time of hiring.

The facility failed to ensure that all staff members had no substantiated findings on the North Carolina Health Care Personnel Registry (HCPR) upon hire. Specifically, 3 of 6 sampled staff members, including a medication aide and a personal care aide, lacked documentation of an HCPR review.

The facility failed to ensure proper health care coordination and follow-up for several residents. Specifically, the facility failed to obtain necessary primary care provider and neurology referrals for one resident, and failed to coordinate psychiatry, physical therapy, and dermatology referrals for others.

The facility failed to ensure health care referral and follow-up for 2 of 5 sampled residents. Specifically, the facility failed to coordinate wound care for a resident with diabetes and failed to coordinate obtaining blood levels as ordered for a resident's seizure medication.

The facility failed to ensure one of three staff members acting as a medication aide had completed required training, clinical skills validation, or passed the state-approved written exam. Specifically, a Personal Care Aide was found applying Lidocaine patches to a resident without the necessary medication aide qualifications or documentation.

The facility failed to ensure the activity director meets the required qualifications regarding the completion of a basic activity course. The regulation requires directors hired after September 30, 2022, to complete a state-approved activity course within nine months of employment.

The facility failed to ensure that one of three staff members identified as a medication aide had completed the required medication aide training, clinical skills validation, and the state-approved written examination. Personnel records showed no documentation of the staff member being hired as a medication aide or completing the necessary training and competency assessments.

The facility failed to serve a prescribed mechanical soft chopped diet and soaked roll to a resident as ordered by their physician. During meal service, a dietary aide served items that were not properly prepared, and the resident experienced coughing after consuming the unsoaked roll.