Terrabella Greensboro

The facility failed to ensure one of seven sampled residents completed a required tuberculosis (TB) skin test prior to admission. While a chest x-ray was performed, there was no documentation of a positive TB test or an allergy to the TB antigen to justify using an x-ray instead of the required skin test or IGRA assay.

The facility failed to ensure medications were administered as ordered for two of seven sampled residents. This included errors specifically related to the administration of sliding scale insulin (SSI).

The facility failed to ensure one of seven sampled residents completed a required tuberculosis (TB) skin test prior to admission. Specifically, there was no documentation of a positive TB test to justify using a chest x-ray instead of a one-step TB test, nor was there evidence of an IGRA assay or skin testing performed.

The facility failed to ensure that two sampled residents had physician orders to self-administer medications. Specifically, various medications including inhalers, nasal sprays, and eye drops were found kept in the residents' rooms without the required documentation of self-administration authority.

The facility failed to ensure staff provided necessary personal care assistance, specifically regarding bathing and incontinence care, for a resident. Electronic care logs showed a lack of documentation for bathing and indicated that required assistance to the bathroom and incontinence care did not occur as documented for several months.

The facility failed to ensure staff provided necessary personal care assistance to a resident with bathing and incontinence care. Specifically, records indicated the resident did not receive documented assistance to the bathroom for 31 out of 31 days in October 2020.

The facility failed to ensure staff provided necessary personal care assistance to a resident with bathing and incontinence care. Specifically, records indicated the resident did not receive documented assistance to the bathroom for 31 out of 31 days in October 2020.

The document identifies a deficiency regarding the requirements for medication aide training and competency. The facility is prohibited from allowing unsupervised medication aide duties unless specific training and experience criteria are met.

The facility failed to ensure that one out of six sampled staff members was properly tested for tuberculosis disease. Specifically, a Medication Aide was missing the required second TB skin test that should have been completed within the first year of employment.

The facility failed to ensure that one of three sampled medication aides had documentation of completed clinical skills validation, required training, or verification of previous employment. Records for Staff E lacked documentation of employment verification prior to beginning work as a Medication Aide.

The facility failed to ensure that one of six sampled staff members was tested for tuberculosis disease upon hire. Specifically, there was no documentation of a second TB skin test for a Medication Aide within the first year of employment.