Terrabella Hillsborough

The facility failed to ensure that a medication aide (Staff C) had completed the required clinical skills competency validation checklist prior to administering medications. While the staff member had passed the written examination, there was no documentation of the required clinical skills check-off in their personnel file.

The facility failed to ensure that a personal care aide (Staff D) had no findings listed on the North Carolina Health Care Personnel Registry (HCPR). A review of the personnel record revealed that no documentation of an HCPR review was completed upon the employee's hire.

The facility failed to ensure that one of three sampled medication aides had completed the required clinical skills competency validation checklist. While the staff member had passed the written examination, there was no documentation of the required clinical skills check-off in her personnel record.

The facility failed to provide adequate supervision for a resident, resulting in six documented falls within a three-month period. Specifically, the resident's care plan lacked documentation regarding the level of assistance required for daily activities, and there were no bed or wheelchair alarms or floor mats in place to mitigate fall risks.

The facility failed to provide adequate supervision for a resident, resulting in six documented falls within a three-month period. Specifically, the facility's Fall Reduction Program lacked information regarding increased supervision after a fall, and the resident's care plan failed to document the specific amount of assistance required for activities of daily living.

The facility failed to maintain hot water temperatures between 100°F and 116°F in resident bathrooms. Specifically, temperatures in several sinks were measured between 80°F and 86°F, which caused delays in residents receiving showers or led to residents refusing them.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit at several bathroom fixtures. Specifically, temperatures in resident rooms on the A and B halls were measured as low as 80 to 86 degrees Fahrenheit, which caused delays in residents being able to shower.