The Carrolton of Fayetteville

In the surveyor’s words

From the most serious findings on record at The Carrolton of Fayetteville, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814Sep 12, 2025

  Based on observation and staff interviews, the facility failed to ensure debris was removed from in front of the dumpsters for 2 of 3 dumpsters observed. The facility also failed to ensure that the doors to the dumpsters were closed for 1 of 3 dumpsters. This practice had the potential to attract pests and rodents.The findings included:An observation of the dumpster area and interview with the Dietary Manager was conducted on 9/8/25 at 7:22 AM. Three dumpsters were observed lined up in a row. The middle dumpster door was open on the right side and debris was in front of the middle dumpster and right dumpster. The debris included used gloves, used napkins, and a large pile of lint from a washing machine. […]

• No harm, potential for more than minimal, patternF686Feb 29, 2024

  Based on record review and staff and Medical Director interviews, the facility failed to complete and document comprehensive weekly skins assessments and nursing notes related to treatment or prevention of pressure ulcers, provide treatments as ordered, and initiate an air mattress and protective heel boots when recommended for a resident with and at risk for pressure ulcers. Resident #1 developed new pressure ulcers and existing pressure ulcers deteriorated. This deficient practice occurred for 1 of 3 residents reviewed for pressure ulcers (Resident #1). […]

• No harm, potential for more than minimal, isolatedF755Jun 3, 2026

  Based on observation, record review, and interviews with staff, Consultant Pharmacist, and Physician, the facility failed to ensure documentation of administered doses of Resident # 1's seizure medication could be accurately reconciled with the number of tablets dispensed from the pharmacy and removed from Resident # 1's supply of seizure medication, which could indicate the possibility that the seizure medication may not have been given as ordered or that staff were borrowing the medication from other residents' supplies. This was for 1 of 2 residents whose medications were reviewed (Resident # 1). The findings included:Record review revealed Resident # 1 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF552Sep 12, 2025

  Based on record review and staff interviews, the facility failed to obtain and document consent from a resident's Responsible Party (RP) for the use of psychotropic medications for 1 of 5 residents reviewed for unnecessary medications (Resident #55).The findings included:Resident #55 was admitted to the facility on [DATE] with diagnoses that included dementia with behavioral disturbance, depression and cerebral infarction (stroke).A physician order dated 8/6/25 indicated mirtazapine (antidepressant) tablet 15 milligram (mg). Give 0.5 tablet by mouth at bedtime for depression.A physician order dated 8/6/25 indicated quetiapine fumarate (antipsychotic) tablet 25 mg. […]

• No harm, potential for more than minimal, isolatedF578Sep 12, 2025

  Based on record review and staff interviews, the facility failed to inform a resident and/or Responsible Party (RP) of their right to accept or refuse medical or surgical treatment or to formulate an advance directive for 1 of 24 residents reviewed for advance directives (Resident #2).The findings included:Resident #2 was admitted to the facility on [DATE]. The medical record indicated Resident #2's RP was her legal guardian. A physician order for Resident #2 dated 4/30/25 indicated full code status. A social service history and initial assessment form completed by the Social Worker (SW) with an effective date of 5/1/25 included an advanced care planning section that had not been completed. […]