Tranquility Care

The facility failed to ensure proper medication administration competency evaluations were maintained. The regulation requires a written examination and a clinical skills evaluation conducted by a registered nurse or licensed pharmacist to verify staff proficiency in specific medication tasks.

Dietary staff lacked consistent access to therapeutic diets and menus. Administration must ensure all staff have full access to these resources to ensure appropriate meals are provided according to dietary requirements.

The facility failed to ensure that all staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry. Specifically, a review of a medication aide's personnel record revealed a substantiated finding from 2012 for misappropriation of resident property.

The facility failed to ensure that all staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry. A review of a medication aide's personnel record revealed a substantiated finding from 2012 for misappropriation of resident property.

The facility failed to ensure hallway floors were kept clean, with thick layers of light-colored, brownish, and black build-up observed along baseboards and in the middle of Hallways A, B, and C. Interviews with housekeeping staff revealed that hallway floors were not routinely mopped and there was no established cleaning list or deep cleaning schedule for these areas.

The facility failed to ensure that floors were kept clean. Observations in Hallway A and Hallway B revealed a thick layer of light-colored and brownish to black colored build-up extending from the baseboards into the hallways.

The facility failed to ensure that all exit door locks were easily operable by a single hand motion from the inside without keys. Specifically, two exit doors on C Hall had broken lever-type door latches that remained in the closed position, preventing residents from exiting the facility in an emergency.

The facility failed to ensure that 2 of 3 sampled staff members were tested for tuberculosis disease upon hire. Personnel records for Staff A and Staff C lacked documentation of required tuberculosis skin tests.