The Landings of Cabarrus

The facility failed to ensure all food items were protected from contamination. Specifically, food items were found unlabeled, undated, and improperly stored in the refrigerator, and food storage containers and the refrigerator floor were not properly cleaned or sanitized.

The facility failed to ensure food items were protected from contamination, specifically regarding items that were unlabeled, undated, or improperly stored in the refrigerator. Observations revealed opened condiments, meats, and cheeses lacking labels or dates, as well as soiled refrigerator floors and storage containers.

The facility failed to ensure signed physician orders were properly documented and implemented in the resident's record. Specifically, a physician's order to discontinue as-needed acetaminophen and start a scheduled dose was not communicated to the pharmacy, resulting in the medication not being updated on the eMAR.

The facility failed to ensure signed physician's orders were implemented for a resident. Specifically, the facility did not initiate a scheduled medication for pain control and failed to discontinue an as-needed medication as ordered by the physician.

The facility failed to implement a comprehensive infection prevention and control program regarding staff illness. There was a lack of clear procedures for staff to report symptoms and follow appropriate precautions, such as mask use and isolation types, when ill while at work.

The facility failed to administer medications as ordered for one resident. Specifically, the resident continued to receive Tylenol three times daily even after a new order for Tramadol was issued, which should have resulted in the discontinuation of the Tylenol to avoid exceeding daily dosage limits.

The facility failed to administer medications as ordered for one resident. Specifically, the resident continued to receive Tylenol three times daily despite a physician's order to discontinue it once Tramadol was started. This resulted in the administration of an incorrect medication regimen from 04/01/21 to 04/07/21.

The facility failed to provide adequate supervision for a resident with a high risk for falls, as evidenced by multiple falls resulting in physical injuries. Specifically, the facility's fall policy lacked information regarding the supervision of residents following a fall, and care plan requirements for monitoring a wandering, semi-ambulatory resident were not met.

The facility failed to provide adequate supervision for a resident with high fall risk, resulting in multiple falls and physical injuries. Specifically, the facility's fall policy lacked information regarding the supervision of residents following a fall, and staff failed to monitor a resident who was documented as needing supervision for ambulation.