Terrabella Fayetteville

The facility failed to ensure medications were administered according to physician orders. Specifically, during a medication pass, staff administered a discontinued medication (Vitamin B12) and failed to administer a required medication (Vitamin B Complex) for residents, resulting in a 6% medication error rate.

The facility failed to ensure medications were administered according to physician orders. Specifically, during a medication pass, staff failed to include required Vitamin B Complex for Resident #6 and failed to follow orders for other residents regarding medications used to treat or prevent vitamin and mineral deficiencies and muscle spasms.

The facility failed to maintain an environment free of hazards by leaving personal care products accessible to residents in the special care unit (SCU). Specifically, items such as shampoo, lotion, toothpaste, and body wash were observed unsecured on sinks, grab bars, and in unlocked cabinets, violating the facility's own policy to store non-toxic items in inaccessible locations.

The facility failed to maintain an environment free of hazards by leaving accessible personal care products in the Special Care Unit (SCU). Specifically, various toiletries such as shampoo, lotion, toothpaste, and deodorant were found left out or in unlocked cabinets in resident bathrooms, posing an ingestion risk to residents.

The facility failed to maintain an environment free of hazards in the Special Care Unit (SCU). Specifically, personal care hygiene products with warning labels and a pair of metal scissors were left accessible to residents in rooms C-11 and C-01.

The facility failed to maintain an environment free of hazards in the special care unit (SCU). Specifically, personal care products and metal scissors were found accessible to residents, violating the facility's own policy to keep such items in secured, locked areas.

The facility failed to clarify medication orders for one resident regarding scheduled and sliding scale insulin. Specifically, conflicting orders for Novolog and Novolog Mix 70/30 were present in the medical record without documented verification or clarification from the prescribing practitioner.

The facility failed to clarify medication orders for a resident, specifically regarding scheduled and sliding scale insulin. Discrepancies were noted between different physician orders, including conflicting instructions for Novolog Mix 70/30 and Humalog.