Yadkin Valley Senior Living

The facility failed to provide residents with non-disposable place settings consisting of a knife, fork, spoon, plate, and beverage containers. Observations revealed residents being served meals on disposable styrofoam trays and with plastic utensils in their rooms. Staff interviews confirmed awareness of the requirement but noted a practice of using disposables due to resident preference and previous issues with discarded utensils.

The facility failed to maintain matching therapeutic diet menus for food service guidance. Specifically, three out of five sampled residents had physician-ordered diets, such as mechanical soft with ground meats and no concentrated sweets, that did not align with the available menus.

The facility failed to ensure that 2 of 4 sampled staff members were tested for tuberculosis disease upon hire. Specifically, records for a Medication Aide showed no documentation of a required TB skin test completed at the time of employment.

The facility failed to ensure that all staff were tested for tuberculosis disease upon hire. Specifically, a review of personnel records showed that 2 of 4 sampled staff members lacked documentation of required TB testing upon employment.

The facility failed to notify primary care providers regarding abnormal clinical results for two residents. Specifically, the facility did not notify physicians of fingerstick blood sugar results greater than 350, abnormal blood pressure results, or the unavailability of prescribed eye drops.

The facility failed to ensure referral and follow-up to meet the routine and acute health care needs of residents. Specifically, the facility failed to notify health care providers for three residents regarding necessary referrals to a pulmonologist, management of low oxygen saturation, and addressing blood pressure and blood sugar levels outside of ordered parameters.

The facility failed to ensure proper referral and follow-up for the acute health care needs of residents. Specifically, staff failed to notify healthcare providers for three residents regarding necessary pulmonology referrals, management of high blood sugars, and monitoring of blood pressure and oxygen saturation levels.

The facility failed to maintain clean and well-repaired floor coverings. Specifically, hallway carpets in multiple areas were worn slick, featured large black stains, and had separating seams. Additionally, the facility failed to keep showers clean and free of mold.