The Gardens of Pamlico

The facility failed to ensure that one of three sampled medication aides passed the required written examination within 60 days of completing the skills checklist. Specifically, Staff B completed the skills checklist on 02/17/25 but had not passed the written exam by the time of the survey, despite documenting medication administration throughout April and May 2025.

The facility failed to ensure that one of three sampled medication aides passed the required written examination within 60 days of completing the medication aide skills checklist. Staff B completed the skills checklist on 02/17/25 but did not pass the exam until 05/29/25, exceeding the 60-day window.

The facility failed to ensure follow-up to meet the acute health care needs of a resident related to failing to inform the primary care provider of multiple medication refusals and elevated fingerstick blood sugars. The facility's policies require notification of the physician for persistent refusals and monitoring of specific parameters.

The facility failed to maintain resident rooms and bathrooms in a clean and orderly manner. Observations revealed uncleaned floors, hard water stains on bathroom fixtures, and thick dust on furniture and dispensers. Additionally, a resident reported that floors had not been swept or mopped since November 2023.

The facility failed to ensure necessary medical follow-up and referrals for residents. Specifically, the facility did not document that Resident #5 had attended a required pulmonology follow-up appointment following a hospital discharge for respiratory failure and pneumonia.

The facility failed to ensure necessary referral and follow-up for two resident appointments. Specifically, the facility did not facilitate a pulmonology follow-up for Resident #5 and a mental health referral for Resident #4.

The facility failed to ensure the kitchen, dining, and food storage areas were clean and protected from contamination. Specifically, the oven and metal storage shelves were found covered in thick, tarry grime, sticky substances, and dried food particles.

The facility failed to maintain residents' rights regarding dignity, respect, and responsiveness to requests. Findings included residents being exposed to foul odors and wet carpeting from a toilet overflow, a staff member using a harsh and demeaning tone, and failure to respond to a resident's request to move rooms.

The facility failed to maintain the kitchen, dining, and food storage areas in a clean and orderly manner. Specifically, the kitchen oven and two large metal storage shelves were found to be covered in thick, tarry grime, sticky substances, and dried food particles. Staff interviews indicated that while surfaces are wiped between meals, there is no signed cleaning schedule and the last deep cleaning was not recalled.

The facility failed to ensure the kitchen, dining, and food storage areas were clean and protected from contamination. Specifically, the oven and metal storage shelves were found covered in thick, tarry grime, sticky substances, and dried food particles.

The facility failed to maintain residents' rights regarding dignity, respect, and response to requests. Findings included residents being exposed to wet carpeting and foul odors from an overflowing toilet for three days, and a resident being spoken to in a loud, harsh, and demeaning manner by staff.