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Source: NC Division of Health Service Regulation
The facility failed to ensure that 3 out of 3 sampled residents had their assessments and care plans updated annually. Specifically, residents #1, #2, and #3 had care plans that had not been updated since February 2023, despite their ongoing needs for assistance with activities of daily living.
The facility failed to ensure that 3 out of 3 sampled residents had their assessments and care plans updated annually. Specifically, for Resident #1, the care plan had not been updated since February 2023, despite the resident's admission in 2021.
The facility failed to ensure that one sampled medication aide had completed the required 5-hour and 10-hour training for medication administration. Personnel records lacked documentation of these completed training sessions, and the staff member could not confirm receiving the necessary certification.
The facility failed to provide a matching therapeutic diet menu for a resident ordered to be on a renal diet. There was no therapeutic diet menu posted in the kitchen, and staff were instead relying on a list of foods provided by the physician's office.
The provided text contains the header for a deficiency regarding nutrition and food service, but the specific findings for this violation were not included in the provided document snippet.
The facility failed to ensure that one sampled staff member, who was actively administering medications, had completed the required 5-hour and 10-hour medication administration training. Personnel records lacked documentation of these completed trainings, and the staff member could not confirm completion of the specific required courses.
The facility failed to ensure that three out of three residents' bedrooms (rooms #1, #2, and #3) were equipped with at least one comfortable chair in good repair. Observations and interviews revealed that residents were sitting on beds or rollators due to the lack of available seating. The facility co-owner stated that previous chairs were removed because they were broken and new chairs were being held in storage due to renovations.
The facility failed to maintain a hazard-free environment due to rippled carpeting in the dining and living areas. Additionally, resident room #2 contained a drop cord and a scatter rug, creating potential trip hazards.
The regulation requires that the kitchen, dining, and food storage areas be kept clean, orderly, and protected from contamination.
The facility failed to ensure it had a qualified Activity Director to review and approve the activity calendar and evaluate the activity program. Specifically, the activity calendar had not been updated since April 2017, and the staff member responsible had not checked with residents to see which activities they preferred.
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