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Source: NC Division of Health Service Regulation
The facility failed to ensure that one of three sampled staff members (Staff B) met the required qualifications to administer medications. Specifically, the staff member had not completed the required state-approved medication aide training, clinical skills validation, or passed the written examination. This failure resulted in unqualified personnel administering medications to residents.
The facility failed to ensure that one of three sampled staff members who administered medications had completed the required state-approved medication aide training, clinical skills validation, and the written examination. Personnel records for the staff member lacked documentation of training, skills checklists, and exam results.
The facility failed to ensure that a Licensed Health Professional Support (LHPS) evaluation was completed at least quarterly for two residents requiring medication administration via injections. Specifically, for Resident #1, there was no LHPS evaluation available for review despite the resident requiring paliperidone palmitate injections every three weeks.
The facility failed to ensure proper oversight of medication administration processes. The provided text indicates a deficiency regarding the preparation and administration of medications and treatments, though the specific evidence for this tag was truncated in the provided document.
The facility failed to ensure that Licensed Health Professional Support (LHPS) evaluations were completed within 30 days of admission or when a need develops, and at least quarterly thereafter, for residents requiring specific tasks. Specifically, Resident #1 had no LHPS evaluation available for review, and Resident #3 had not received an evaluation since March 2022 despite requiring medication administration via injection.
The facility failed to ensure that 2 of 3 sampled residents completed required tuberculosis (TB) testing upon admission. Specifically, one resident lacked documentation of a required second TB skin test, and another resident's records showed incomplete testing protocols.
The facility failed to ensure that 2 of 3 sampled residents completed the required two-step tuberculosis (TB) testing upon admission. Specifically, records for Resident #2 and Resident #3 showed documentation of only a single TB skin test, with no evidence of the required second step being administered.
The facility failed to provide the required minimum of 14 hours of planned group activities per week. A review of the October 2017 calendar showed only 12 hours were documented for the week of 10/22/17-28/17, and several scheduled activities were illegible or not offered. Additionally, interviews with residents and staff confirmed that activities listed on the calendar were not consistently provided.
The facility failed to provide a minimum of 14 hours of planned group activities per week. These activities failed to promote socialization, physical interaction, group accomplishment, creative expression, and increased knowledge or new skills for the residents.
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