Spring Arbor of the Outer Banks

The facility failed to ensure two of eight exit doors were equipped with a sounding device that was audible throughout the facility. Specifically, an exit door near room 308 triggered an alarm that stopped after 30 seconds, and staff failed to respond to the alarm at the control panel for 24 minutes.

The facility failed to ensure that 2 of 8 exit doors were equipped with a sounding device that is audible throughout the facility. This deficiency puts residents at risk, as several residents on the Assisted Living unit were identified as having dementia, memory impairment, or wandering behaviors.

The facility failed to provide adequate supervision to meet the needs of a resident with a high fall risk. Specifically, one resident who had a history of falls and sustained three falls within 20 days of readmission did not receive the required increased supervision as indicated by their care plan and clinical needs.

The facility failed to ensure increased supervision to meet the needs of a resident who had a history of falls with injury and sustained five falls within 20 days of readmission. Despite the resident's high risk due to dementia, unsteadiness, and recent hip fracture, the care plan and supervision levels were not adjusted to prevent subsequent unwitnessed falls.

The facility failed to ensure the Special Care Unit (SCU) was free of hazards by leaving several items unsecured in resident bathrooms and an activity closet. Specifically, unlocked cabinets in resident rooms contained hazardous items such as disposable razors and aerosol air fresheners. This lack of security posed a risk to the 16 residents residing in the SCU.

The facility failed to ensure the Special Care Unit (SCU) was free of hazards by leaving several hazardous items unsecured in residents' private bathrooms and an activity closet. Specifically, unlocked cabinets in resident rooms contained accessible items such as razors, aerosol air fresheners, and various medicinal creams with ingestion or safety warnings.

The facility failed to maintain minimum required aide duty hours on 10 out of 48 shifts, resulting in inadequate staffing to meet resident needs. Resident interviews indicated that the shortage of staff has been ongoing for several weeks, leading to concerns regarding the safety and care of other residents.

The facility failed to maintain minimum required aide duty hours on 10 out of 48 shifts, resulting in inadequate staffing to meet resident needs. Resident interviews indicated that the shortage of staff was a significant concern, with one resident even attempting to assist another resident in a wheelchair due to the lack of available personnel.