Virginia's Place

The facility failed to ensure necessary referral and follow-up care to meet the routine health needs of a resident. Specifically, the facility failed to ensure that Resident #2 was seen by his psychiatrist following multiple missed appointments and a cancellation by facility staff. This lack of follow-up occurred despite the resident's documented need for mental health services and impulse control management.

The facility failed to ensure necessary referral and follow-up to meet the routine health care needs of a resident. Specifically, the facility did not ensure that a resident with autism and OCD was seen by his psychiatrist following instances of inappropriate behavior.

The facility failed to ensure that three out of three exit doors were equipped with a sounding device that was audible throughout the facility. This is a violation because at least one resident with a known history of wandering was not properly protected by an audible alarm system.

The facility failed to ensure that exit doors were equipped with a sounding device that was audible throughout the facility when opened. Specifically, the front door leading to a resident's bedroom had no alarm, and the kitchen and side exit doors had alarms that were turned off and did not function when opened. This deficiency is critical for residents with a history of wandering, such as Resident #3.

The facility failed to ensure that 3 out of 3 sampled staff members were tested for tuberculosis disease using a two-step skin test upon hire. Specifically, Staff A lacked a second skin test, Staff B lacked a test following their hire date, and Staff C had no documentation of any TB skin test.

The facility failed to ensure that 2 out of 3 sampled staff members (Staff A and B) had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR). The administrator had not completed the required registry checks for these employees at the time of the survey.

The facility failed to ensure that 1 out of 3 sampled staff members (Staff A) had a statewide criminal background check completed at the time of hire. Personnel records for Staff A did not contain documentation of the required criminal background check.

The facility failed to provide documentation that one of two sampled staff members had been competency validated by a licensed health care professional to perform insulin injections and fingerstick blood sugar testing (FSBS). Interviews revealed the staff member was performing these tasks without a completed LHPS checklist and was unaware of the requirement.

The facility failed to ensure that an appropriate licensed health professional participated in the on-site review and evaluation of residents' care for tasks such as fingerstick blood samples and medication administration through injection. Specifically, staff were performing these regulated tasks without the required oversight and validation processes.

The facility failed to provide documentation that one of two sampled staff members had been competency validated by a licensed health care professional to perform insulin injections and fingerstick blood sugar testing. Interviews revealed the staff member was performing these tasks without a completed LHPS checklist and was unaware of the requirement.