The Bradford Village of Kernersville - West

The facility failed to ensure that all medication aides completed the required state-approved training and passed the written examination. Specifically, one staff member had not completed the full required training hours, and another had not passed the written examination within 60 days of completing their clinical validation skills checklist.

The facility failed to ensure medication aides were properly trained and certified. Specifically, one staff member lacked documentation for the required 10-hour training, and another had not passed the written medication aide examination within 60 days of completing their clinical validation skills checklist.

The facility failed to ensure that a licensed health professional support (LHPS) competency validation was completed for specific tasks. Specifically, for one sampled staff member, there was no evidence of validation for checking fingerstick blood sugar (FSBS) and the administration of medication via injection.

The facility failed to ensure a licensed health professional support (LHPS) competency validation was completed for a staff member performing tasks including checking fingerstick blood sugar and insulin administration. A review of Staff B's personnel record showed no documentation of the required competency validation checklist despite the staff member performing these tasks in May and June 2023.

The facility failed to ensure that annual care plans were completed for 2 of 5 sampled residents. Specifically, for Resident #3, there were no care plans available for review after February 11, 2021, and the most recent assessment lacked critical information regarding ambulatory status and assistance needs.

The facility failed to ensure health care and referrals were followed up on for several residents. Specifically, the facility did not complete referrals to a pain specialist, failed to manage orders for daily laxatives and oxygen containers, and did not notify a physician regarding a resident using an oxygen concentrator for sleep apnea.

The facility failed to ensure health care and referrals were followed up on for several residents. Specifically, the facility did not monitor referrals to specialists, follow up on daily medication orders, or ensure adequate portable oxygen containers were available for residents using oxygen.