Waterbrooke of Elizabeth City

The facility failed to maintain hot water temperatures between 100°F and 116°F. Specifically, 5 of 6 fixtures in the common and shared bathrooms on the special care unit were found to have temperatures ranging from 120°F to 129.2°F.

The facility failed to maintain hot water temperatures between 100°F and 116°F in several resident bathrooms. Specifically, five out of six fixtures in the common and special care unit bathrooms were found to have temperatures ranging from 120.0°F to 129.2°F. A plumber's review also identified leaks in the laundry room pipes that contribute to temperature fluctuations.

The facility failed to provide required personal care for 2 of 5 sampled residents. Specifically, one resident requiring catheter and foot care did not receive proper care, and another resident requiring daily repositioning and wound care did not receive necessary assistance when home health was unavailable.

The facility provided an addendum regarding tag D269 following a telephone conversation. The addendum was intended to correct the omission of a second correction date that fell outside the required correction time frame.

The facility failed to ensure that 2 of 8 exit doors accessible to residents on the Assisted Living unit were equipped with functioning sounding devices. Specifically, two doors in the women's resident hall did not alarm when opened because the battery covers were missing and no batteries were present.

The facility failed to maintain functional exit alarms, specifically noting that the women's hall exit door had no batteries and a missing battery cover, preventing it from alarming. Additionally, the exit door to the smoking area did not produce an audible alarm when opened, and staff had intentionally set the alarm switch to the 'off' position. There was also no documentation of the required weekly or daily door alarm checks in the maintenance logs.

The facility failed to ensure medications were administered as ordered for 2 of 5 residents sampled. Specifically, several doses of medications including Amlodipine, Atorvastatin, Baclofen, Clonidine, Levoxyl, and Vascepa were not administered because the medications were not available on the medication cart.

The facility failed to ensure medications were administered as ordered for 2 of 5 sampled residents. Specifically, there was no documentation related to the reordering or stocking of cycle fill medications. Additionally, discrepancies were noted between physician orders and administration records for Resident #2.