Wake Assisted Living

The facility failed to maintain an environment free from persistent and recurring unpleasant odors. Observations throughout the facility, including specific resident rooms and hallways, revealed strong smells of urine and feces. Interviews with staff and family members confirmed that these odors were frequent and intense.

The facility failed to employ a qualified activity director. Interviews with staff and management revealed that the position was vacant for approximately one week following a termination, leaving the facility without a designated individual to plan activities for residents.

The provided text outlines the requirements for resident assessments, including functional, psychosocial, and physical assessments, but the specific deficiency/finding for this regulation was truncated in the provided document.

The facility failed to employ a qualified activity director. Interviews with staff and management confirmed that the position had been vacant since July 18, 2025, and the facility was in the process of seeking a replacement.

The facility failed to provide the required 14 hours of planned weekly group activities. Observations and interviews revealed that the activity room was often locked, no monthly activity calendars were posted, and residents were frequently left sitting in the day room without engagement. Staff reported that activities had significantly declined since the activities director was let go.

The facility failed to provide the required 14 hours of planned group activities per week. Observations and interviews revealed that the activity room was often locked, no monthly calendars were posted, and residents were frequently left sitting in the day room without engagement due to the absence of an Activity Director.

The facility failed to ensure medications were administered as ordered. During a medication pass, a 2% error rate was identified involving the incorrect medication used to treat anemia for one resident.

The facility failed to ensure that a resident was free from physical abuse by staff members who pinned the resident down and punched her in the head. Investigations revealed multiple bruises in various stages of healing across the resident's body, contradicting the facility's reported incident of a simple fall.

The facility failed to ensure that a resident was free from physical abuse by staff members. Investigations and observations revealed the resident had multiple bruises in various stages of healing on her head, arms, and legs, consistent with allegations of being pinned down and punched.

The facility failed to ensure that a medication used to treat blood disorders was discontinued as ordered by a prescribing practitioner for one resident. Specifically, the facility continued to administer Aspirin (ASA) 81mg despite a physician's order dated 04/27/22 to discontinue the medication.