Hillcrest Raleigh at Crabtree Valley

In the surveyor’s words

From the most serious findings on record at Hillcrest Raleigh at Crabtree Valley, in the surveyor’s own words.

• Immediate jeopardy, isolatedF880Dec 15, 2023

  Based on observations, staff interviews, and record review, the facility staff failed to disinfect a shared blood glucose meter (glucometer) between residents with an approved disinfectant wipe for 2 of 3 residents whose blood glucose levels were checked (Resident #36 and Resident #81). This occurred while there was a resident with known bloodborne pathogens in the facility. Shared glucometers can be contaminated with blood and must be cleaned and disinfected after each use with an approved product and procedure. […]

• No harm, potential for more than minimal, patternF638Sep 16, 2022

  Based on record review and staff interviews, the facility failed to complete quarterly Minimum Data Set (MDS) assessments within 14 days of the Assessment Reference Date (ARD, the last day of the look-back period) for 12 of 40 residents reviewed for MDS (Residents #2, #19, #29, #77, #72, #40, #20, #28, #16, #47, #164 and #32). Findings included: 1. Resident #2 was admitted to facility on 3/23/22. On 9/15/22 Resident #2 ' s quarterly minimum data set (MDS) assessment with an ARD of 6/28/22 was observed as open and incomplete. An interview was conducted on 9/16/22 at 1:30 PM with MDS Nurse #1 who stated when an MDS was listed as open it was not completed. […]

• No harm, potential for more than minimal, patternF812Sep 16, 2022

  Based on observation and staff interviews, the facility failed to label and date leftover food items in two of three nourishment refrigerators (100 hall and 200 hall) and failed to store perishable items in one of three nourishment rooms located on the 300 hall. The facility also failed to allow cups and dessert bowls to air dry prior to assemblage and stacking for two of two observations. These practices had the potential to affect residents. Findings Included: 1. An observation of the nourishment room on the 200 hall was conducted on 9/13/22 at 3:46 PM, and the refrigerator/freezer were inspected. […]

• No harm, potential for more than minimal, isolatedF689Dec 9, 2025

  Based on observation, record review, and interviews with staff, Director of Nursing, and Medical Director, the facility failed to transfer Resident #1 safely with a mechanical lift which resulted in an avoidable injury. Resident #1 had right sided hemiplegia (severe paralysis on the right side of the body) and right foot drop (difficulty lifting the front part of the right foot). While Nurse Aide (NA) #1 and NA #5 were transferring Resident #1 her paralyzed right foot got caught in the recliner footrest. emergency room X-rays results noted a closed fracture of proximal end of the right tibia (fracture of the upper shin bone, just below the knee). […]

• No harm, potential for more than minimal, isolatedF554Dec 15, 2023

  Based on observations, resident and staff interviews, and record review, the facility failed to determine whether the self-administration of medications was clinically appropriate for 1 of 1 sampled resident (Resident #44) who was observed to have medications at bedside. The findings included: Resident #44 was admitted to the facility on [DATE]. His cumulative diagnoses included diabetes and polyneuropathy (a condition where multiple nerves located outside of the brain and spinal cord are damaged), and dry eye syndrome. The resident's most recent Minimum Data Set (MDS) was a quarterly assessment dated [DATE]. The MDS assessment revealed Resident #44 had intact cognition. […]