Spring Arbor of Apex

The facility failed to provide residents with complete, non-disposable place settings during meal service. Observations and interviews indicated that items such as forks, knives, spoons, and cups were not consistently provided.

The facility failed to maintain an environment free of hazards by leaving accessible personal care items in residents' rooms on the Special Care Unit. Specifically, various products such as rubbing alcohol, mouthwash, and lotions were found unsecured in bedrooms and bathrooms despite policies requiring them to be kept in locked cabinets.

The facility failed to maintain an environment free of hazards by leaving accessible personal care items in residents' rooms on the Special Care Unit. Specifically, various products such as body lotion, rubbing alcohol, and wound cleanser were found unsecured in resident bedrooms and bathrooms, violating the facility's own policy to keep such items in secure cabinets.

The facility failed to ensure that residents were free from abuse, neglect, and exploitation and treated with dignity. Specifically, a staff member was reported to have ignored a resident's request for toileting assistance, instructed the resident to urinate in their brief, and used rough physical handling during incontinence care, causing the resident pain and fear.

The facility failed to ensure that residents were free from abuse, neglect, and exploitation, and treated with dignity. Specifically, a staff member was reported to have ignored a resident's request for toileting assistance, instructed the resident to urinate in their brief, and used rough physical handling during incontinence care, causing the resident pain and fear.

The facility failed to maintain an environment free of hazards on the special care unit (SCU). Observations in multiple resident rooms revealed cluttered bathroom vanities containing various items such as body wash, hair products, hand sanitizer, and personal hygiene supplies.

The facility failed to maintain an environment free of hazards on the Special Care Unit (SCU). Specifically, various personal care items including body wash, shampoos, lotions, and hand sanitizer were left unsecured on bathroom vanities in multiple resident rooms. Staff failed to follow protocols to keep these items in labeled bins or locked cabinets when residents were unsupervised.

The facility failed to ensure adequate supervision for a resident with a high fall risk, resulting in eight falls within a three-month period. Specifically, the facility did not properly implement resident-specific interventions and monitoring as required by the resident's care plan and the facility's falls management policy.

The facility failed to ensure adequate supervision for a resident with high fall risk, resulting in 8 falls within a 3-month period. Although the resident was identified on the 'rose' program, there was no documentation of increased monitoring or additional resident-specific interventions following multiple unwitnessed falls.