The Blair Memory Care Center of Cary

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, there was a delay in starting prescribed doses of Seroquel, an antipsychotic medication, and there was no documentation explaining the delay in administration for orders written on 09/11/25.

The facility failed to ensure that three of nine exit doors were available for non-fire related egress. Specifically, two emergency exit door release switch covers were secured shut with zip ties, and staff were unaware of the keypad codes or how to use the emergency switches to exit the building.

The facility failed to ensure there were no chronic unpleasant odors in the special care unit. An observation revealed a strong, foul-smelling odor in the 400 hall outside the men's shower room.

The facility failed to ensure that three of nine exit doors were available for non-fire related egress because emergency release switch covers were secured shut with zip ties. Additionally, staff members were unable to demonstrate knowledge of how to operate the emergency exit switches or how to evacuate residents through these doors in an emergency.

The facility failed to ensure there were no chronic unpleasant odors in the special care unit (SCU). A strong sulfur odor from a floor drain in the SCU dining room permeated into the hallway, including during resident meal times. Interviews indicated the odor had been present for several months and was linked to the need to flush a hopper sink.

The facility failed to ensure there were no chronic unpleasant odors in the special care unit (SCU). A strong sulfur odor was observed coming from a floor drain in the SCU dining room, which permeated into the hallway. Interviews revealed the odor had been present for several months and was linked to the need to flush a hopper sink to prevent stagnation.

The facility failed to maintain a clean and hazard-free environment, evidenced by clogged toilets containing feces and urine, blocked bathroom doors, and soiled floors and walls. Additionally, several sinks were dysfunctional, and multiple rooms lacked essential supplies such as toilet paper, paper towels, and soap.

The facility failed to maintain a clean and orderly environment free of hazards. Specific issues included clogged toilets and sinks containing feces and urine, bathroom doors blocked by furniture, and unsanitary conditions such as feces and urine on bedroom floors and walls. Additionally, non-operational showers forced residents to use sink baths or shared showers in a COVID-19 positive hall.

The facility failed to maintain a safe environment by leaving furniture and housekeeping chemicals unsecured and accessible to residents, including those with dementia. Specifically, an unlocked room contained hazardous items such as flammable aerosol cans, concentrated floor stripper, and insecticides stored near food items, creating trip hazards and chemical exposure risks.