The Laurels in the Village at Carolina Place

The facility failed to ensure medications were administered according to physician orders for 2 of 5 sampled residents. Specifically, for Resident #3, Lantus was documented as not administered on four separate dates in January 2019, with no documentation explaining why the medication was withheld.

The facility failed to ensure that physician orders for finger stick blood sugars (FSBS) were properly implemented for a resident. Specifically, there was no documentation of blood sugar checks before dinner as required by the physician's orders, and an LPN incorrectly transcribed the orders onto the Medication Administration Record (MAR).

The facility failed to implement physician orders for finger stick blood sugars (FSBS) as prescribed for one resident. Specifically, the medication administration record (MAR) lacked documentation for blood sugar checks before dinner, despite an order for checks before meals and at bedtime.

The facility failed to ensure that 5 of 7 sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR). Personnel files for several employees lacked documentation of required HCPR checks, with staff logs incorrectly marking the checks as nonapplicable.

The facility failed to ensure that 3 of 7 sampled residents were administered required tuberculosis testing upon admission. The facility did not comply with the required tuberculosis disease testing protocols for these residents.

The facility failed to ensure that 5 of 7 sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR). Personnel files for several employees, including dietary and housekeeping staff, lacked documentation of required HCPR checks.