The Charlotte Assisted Living

The facility failed to ensure that trash was emptied daily in at least one sampled resident's room. Observations and family reports indicated that trash in the bathroom and kitchenette remained unemptied for multiple days, and feces were found on the bathroom floor.

The facility failed to maintain a clean and orderly environment, specifically failing to ensure a resident's trash was emptied daily. Observations and family interviews revealed that trash in the bathroom and kitchenette had remained unemptied for several days, and feces were found on the bathroom floor.

The facility failed to provide adequate supervision for a resident with Alzheimer's disease and a history of elopement, resulting in the resident exiting the facility through a rear service door without staff knowledge. The resident was found walking down the street by a passerby. This failure violated policies regarding the monitoring of high-risk residents and the use of roam alert devices.

The facility failed to provide adequate supervision for a resident with Alzheimer's disease and a history of elopement, resulting in the resident exiting the facility through a rear service door without staff knowledge. The resident was found walking down the street by a passerby. This failure violated policies requiring special attention and immediate response for high-risk residents.

The facility failed to provide adequate supervision for a resident with Alzheimer's disease and a history of elopement, resulting in the resident exiting the facility through a service door without staff knowledge. Although a roam alert alarm activated, staff turned off the alarm within five minutes without initiating a search, allowing the resident to wander approximately 742 feet away from the facility.

The facility failed to provide adequate supervision for a resident with Alzheimer's disease and a history of elopement, resulting in the resident exiting the facility through a service door unnoticed. Although the resident's roam alert activated, staff turned off the alarm within five minutes without initiating a search or realizing the resident had left the premises. The resident was eventually located by a passerby approximately 742 feet away from the facility.

The facility failed to accurately document oxygen administration on the Electronic Medication Administration Record (eMAR) for a resident. While the resident was observed using 2 LPM continuous oxygen, there was no corresponding order entered in the eMAR for March, April, or May 2025.

The facility failed to accurately document the administration of medication on the Electronic Medication Administration Record (eMAR) for one sampled resident. The record lacked required components necessary to ensure the accuracy of the medication administration record.