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Source: NC Division of Health Service Regulation
The facility failed to maintain hot water temperatures between 100°F and 116°F for three fixtures in two resident bathrooms. Specifically, a shower temperature was recorded at 93°F, and two sinks in a private bathroom were recorded at 117.3°F and 119.1°F. Records also failed to show any temperatures outside the required range for the months of August, September, and October 2024.
The facility failed to maintain hot water temperatures between 100°F and 116°F. Specifically, a shower temperature was found to be 93°F, and two sinks in a private resident bathroom were found to be at 117.3°F and 119.1°F.
The facility failed to ensure that one of five staff members (Staff B) had no findings listed on the North Carolina Health Care Personnel Registry.
The facility failed to ensure that a re-hired medication aide (Staff G) completed the required clinical skills validation training prior to administering medications to residents. Records showed the staff member had not been validated since 2019, yet administered medications in June 2023.
The facility failed to notify the local Department of Social Services (DSS) within 48 hours regarding a resident's fall that required emergency medical treatment. Interviews revealed that staff and administration did not complete or submit the required incident reports to the DSS following the event.
The facility failed to ensure that 1 of 3 sampled staff members was tested for Tuberculosis (TB) disease upon hire. Specifically, a review of a staff member's record showed no documentation of a required TB skin test for the current facility, and the administrator failed to ensure the completion of the required two-step testing process.
The facility failed to ensure that one of three sampled staff members was tested for Tuberculosis (TB) disease upon hire. Personnel records showed no documentation of a required TB skin test for the employee following her hire date of 08/20/18.
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