Fuquay-Varina Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Fuquay-Varina Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 18, 2023

  Based on observations, record review, and staff, police dispatch, physician, and responsible party (RP) interviews the facility failed to prevent a severely cognitively impaired resident (Resident #71) with known wandering behaviors and poor safety awareness from becoming trapped alone in a locked administrative staff's office with the lights off without staff's knowledge. The facility also failed to provide evidence that a thorough investigation of the incident was conducted and to put corrective measures in place after the incident to prevent a potential recurrence. This deficient practice had a high likelihood of causing Resident #71 serious physical and psychosocial harm. Resident #71 did not have the cognitive capacity to express an adverse outcome. […]

• Immediate jeopardy, isolatedF925Oct 18, 2023

  Based on observations, record review, resident, staff, Physician, and pest control technician interviews the facility failed to control the presence of ants in the facility, maintain an effective pest control program, and to protect a vulnerable resident from having ants crawling on him while in bed. The resident sustained multiple ant bites/stings to his arms, torso, and upper back which resulted in the resident experiencing the discomfort of stinging and itching. Furthermore, the resident stated having ants in his bed, on him, and having been stung/bitten made him feel upset and like No one cared. The facility also failed to implement effective pest reduction measures when the ants were first observed on the resident by staff on 10-6-23. […]

• Immediate jeopardy, isolatedF600Sep 20, 2021

  Based on staff, physician, and Medical Examiner interviews, and record review, the facility neglected to provide assistance from two or more people for activities of daily living according to the most recent assessment dated [DATE] (Resident #7). This resulted in a fall from a raised bed onto the floor. Multiple administrations of Cardio-Pulmonary Resuscitation (CPR) were required to stabilize Resident #7 prior to being taken to the hospital. Resident #7 expired the following day. […]

• Immediate jeopardy, isolatedF689Sep 20, 2021

  Based on staff, physician, Medical Examiner interviews and record review, the facility failed to provide supervision needed for one of three residents reviewed for falls (Resident #7), when a Nursing Assistant (NA) gave a dependent Resident (Resident #7) daily care alone when the Resident required two person ' s assistance for that care according to the most recent assessment dated [DATE]. This resulted in a fall from a raised bed onto the floor. Multiple administrations of Cardio-Pulmonary Resuscitation (CPR) were required to stabilize Resident #7 prior to being taken to the hospital. Resident #7 expired the following day. Findings included: The care plan dated [DATE] stated Resident #7 needed total assistance for all care with 1 - 2 persons. […]

• Actual harm, isolatedF677Jun 17, 2022

  Based on record review, observation, resident and staff interviews the facility failed to provide incontinence care and showers for 2 of 2 dependent residents (Resident #20 and Resident #8) reviewed for Activities of Daily Living (ADL) care. Resident #20 voiced feeling awful and that staff did not care about her. Resident #8's scrotum and buttocks were bright red and Resident #8 voiced pain when his scrotum and buttocks was cleaned. The Nursing Assistant (NA) #9 applied protective barrier cream to Resident #8's scrotum and buttocks. Findings included: 1.Resident #20 was admitted to the facility on [DATE] Resident #20's care plan dated 3-28-22 revealed a goal that she would maintain her level of care needs. […]