Alamance Health Care Center

In the surveyor’s words

From the most serious findings on record at Alamance Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF580Sep 19, 2022

  Based on record review, staff interviews, and physician interviews, the facility failed to notify the physician or nurse practitioner (NP) when antiseizure medication remained unavailable for Resident #140, pain medication was unavailable for Resident #42, and when the nurse was unable to obtain intravenous (IV) access for Resident #111 to provide hydration as ordered for 3 of 4 residents reviewed for notifications (Resident #140, Resident #42, and Resident #111). Immediate jeopardy began on 7/14/22 when the physician was not notified the antiseizure medication continued to be unavailable and was not being administered. The facility failed to notify the physician of antiseizure medication not being administered as ordered for Resident #140. […]

• Immediate jeopardy, patternF726Sep 19, 2022

  Based on observations, record review and interviews of staff, contracted Respiratory Therapist, and Medical Director, the facility failed to train nursing staff and verify competency to provide for and to meet the respiratory care needs for 1 of 1 resident reviewed for [CONDITION(S)] care. Resident #46 required 5 trips to the Emergency Department (ED) over a two and a half week period of time to clear her airway and treat [CONDITION(S)] as a result of staff not maintaining a clear airway from tracheal secretions. […]

• Immediate jeopardy, patternF760Sep 19, 2022

  Based on record review, staff interviews, family interview, pharmacist interview, and physician interviews, the facility failed to provide prescribed antiseizure medication for 1 of 10 residents (Resident #140) reviewed for medication errors. Resident #140 did not receive prescribed [MEDICATION(S)] (antiseizure medication) from 6/26/22 - 7/10/22 and from 7/14/22 - 7/21/22. This resulted in the resident not receiving 45 doses of antiseizure medication. Immediate jeopardy began on 6/26/22 when the facility failed to obtain Resident #140's antiseizure medication. Immediate jeopardy was removed on 9/17/22 when the facility implemented an acceptable credible allegation of immediate jeopardy removal. […]

• Immediate jeopardy, patternF600Dec 13, 2021

  Based on record review, staff interviews, Physician Assistant (PA) interviews, Physician interviews, Administrator interview, Interim Director of Nursing (DON) interview, and previous Director of Nursing interview the facility neglected to provide necessary care and services by failing to administer the correct medication; failing to provide effective and ongoing nursing and medical assessments and medical interventions for a resident with an acute/significant change in condition; and failing to implement effective medical intervention for a resident with signs of dehydration for one (Resident #1) of one resident reviewed for neglect. Resident #1 received 29 incorrect medications for a period of 8 days. […]

• Immediate jeopardy, patternF686Dec 13, 2021

  Based on record review, staff interview, and Physician interview the facility failed to perform skin assessments to monitor or identify skin concerns for 2 (Residents #1 and #2) of 3 residents reviewed for pressure ulcer/wound care. Resident # 1 was assessed by the hospital to have a severe unstageable spine decubitus ulcer. Immediate Jeopardy began on 8/30/21 when Resident # 1 was found to have a severe unstageable spine decubitus ulcer at the hospital. The resident was admitted to the facility on [DATE] and there was no evidence of a thorough skin assessment at that time or during the duration of his stay. The immediate jeopardy was removed on 10/25/21 when the facility implemented an acceptable credible allegation for Immediate Jeopardy removal. […]