Harborview Lumberton

In the surveyor’s words

From the most serious findings on record at Harborview Lumberton, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 29, 2022

  Based on record review, staff interviews, resident interview, and physician interview, the facility failed to safely transfer a resident from the bed to a wheelchair by not using a mechanical lift for 1 of 1 resident (Resident #78) reviewed for accidents. A staff member transferred Resident #78 from the bed to a wheelchair using stand and pivot with one person assistance resulting in Resident #78 being lowered to the floor. Resident #78 later experienced pain and swelling to the left leg and was transferred to the emergency department where x-rays confirmed a proximal tibia and fibula fracture of the left lower extremity. […]

• No harm, potential for more than minimal, widespreadF812Jul 19, 2021

  Based on observations, record review, staff interviews, and the Regional Dietary Consultant interview the facility failed to a) routinely monitor and document food temperatures on the steam table by not checking and recording food temperatures of the hot and cold foods prior to serving meals to residents b) failed to cover food plates on an open food cart during transportation and distribution to residents c) failed to follow the cleaning schedule for the stovetop, front oven, and deep fryer when a buildup of grease and residue was observed on the equipment. These practices had the potential to affect all residents who received oral nutrition. Findings included 1a) During the initial tour of the kitchen on 07/12/21 at 12:00 PM the steam table was observed holding hot and cold food items. […]

• No harm, potential for more than minimal, patternF684Apr 10, 2025

  Based on record review, and staff, Registered Dietitian, Wound Care Physician, and the Medical Director's interviews the facility failed to 1a.) implement treatment orders on admission and provide daily wound treatments as ordered for a resident (Resident#17) with a chronic venous wound on the left lower extremity. b.) obtain daily weights as ordered for Resident #17 who had a diagnosis of congestive heart failure and on fluid restrictions. 2a.) provide treatments as ordered for a resident with arterial ulcers (Resident #24). […]

• No harm, potential for more than minimal, patternF760Apr 10, 2025

  Based on record review, and staff, Physician, and the Consultant Pharmacist interviews, the facility failed to hold the medication Midodrine when Resident #95 's systolic blood pressure was above 120 mm Hg (millimeters of mercury) or give the medication when the systolic blood pressure was less than 120 mm Hg. Resident #95 experienced no significant outcome. This occurred for 1 of 1 resident reviewed for medication administration. Findings included: Resident #95 was admitted to the facility on [DATE] with diagnoses that included hypotension. […]

• No harm, potential for more than minimal, patternF761Apr 10, 2025

  Based on observations and staff interviews the facility failed to discard expired medications, record an opened date on a multi-dose oral inhaler that had a shortened expiration date, and refrigerate unopened ophthalmic drops according to the manufacturer's guidelines on 2 of 5 medication carts (400 hall, 800 hall) and in 2 of 2 medication storage rooms (300 hall, 400 hall) that were reviewed for medication storage. Findings included. 1.) An observation of the 400-hall medication cart on 04/02/25 at 11:19 AM revealed the following medications: One bottle of Latanoprost .005% ophthalmic drops that was unopened and not refrigerated. Review of the manufacturers guidelines for Latanoprost ophthalmic solution instructed to store unopened bottles under refrigeration at 2 to 8 C (36 to 46 F). […]