Serenity Family Care Home # 3

The facility failed to maintain a current Environmental Health Sanitation Inspection, as the most recent report was dated 01/15/2020. Additionally, physical deficiencies were noted, including broken window blinds, a black substance on the freezer lid, and dust accumulation on a wall vent.

The facility failed to ensure a current Environmental Health Sanitation Inspection was completed annually and available for review. The most recent report on file was dated 01/15/2020. Additionally, physical observations noted broken window blinds, a black substance on a freezer seal, and dust accumulation on a wall vent.

The facility failed to ensure that 2 of 3 sampled residents had completed tuberculosis (TB) testing upon admission. Specifically, for Resident #4, there was no documentation of a TB skin test in the resident's record despite an admission date of 04/25/22.

The facility failed to implement and maintain CDC and NC DHHS guidance regarding the screening of residents, staff, and visitors during the COVID-19 pandemic. Specifically, the facility lacked the required designation of employees to ensure daily symptom screening and failed to follow written procedures for temperature checks and exposure monitoring.

The facility failed to implement CDC and NC DHHS guidance regarding COVID-19 screening for residents, staff, and visitors. Specifically, there was no signage posted for visitor screening, no COVID-19 screening questionnaires were being conducted, and staff failed to assess visitors for fever or symptoms.

The facility failed to ensure that a resident's ambulatory status and evacuation capabilities matched the current license. Specifically, the facility's license was for five ambulatory residents, but the assessment for Resident #4 indicated the resident was intermittently disoriented.

The facility failed to ensure that the medical examination (FL-2) for one resident was completed no more than 90 days prior to their admission date. Specifically, the resident was admitted on 03/01/2016, but the provided medical documentation was dated 11/18/15.

The facility failed to ensure that the physician's examination (FL-2) was completed no more than 90 days prior to a resident's admission. Specifically, for Resident #2, the medical examination dated 11/18/15 was used for an admission on 03/01/16, which exceeded the required 90-day window.

The facility failed to ensure the Resident Register was completed and signed by the administrator and the resident's responsible person within 72 hours of admission. (Note: While the text transitions into this regulation at the end of the provided snippet, the specific deficiency details for this tag were truncated in the provided text).