The Carrolton of Nash

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF814Mar 29, 2023

  Based on observations and staff interviews, the facility failed to maintain the area surrounding the grease bin free of grease buildup and debris. This included 1 of 1 grease bin observed. The findings included. During an observation of the dumpster area on 3/27/23 at 9:45 AM the grease bin was observed. The 4 foot lip of the grease bin was observed with grease dripping down and the ground was soiled with thick black layers of grease buildup. On 3/28/23 at 3:37 PM an observation was conducted with the Dietary Manager and the grease bin was observed to be in the same condition. An interview was conducted with the District Dietary Manger on 3/28/23 at 4:11 PM. She revealed the maintenance director had removed the grease and would pressure wash the area. […]

• No harm, potential for more than minimal, patternF812Jan 15, 2026

  Based on observation and staff interviews, the facility failed to clean 1 of 1 fryer, 2 of 4 kitchen walls, and 1 of 1 air conditioner wall unit. The facility also failed to allow cook pans, meal trays, and dishes to completely dry prior to assemblage and stacking. These practices had the potential to affect food served to residents. The findings included:Based on observation and staff interviews, the facility failed to clean 1 of 1 fryer, 2 of 4 kitchen walls, and 1 of 1 air conditioner wall unit. The facility also failed to allow cook pans, meal trays, and dishes to completely dry prior to assemblage and stacking. These practices had the potential to affect food served to residents. […]

• No harm, potential for more than minimal, patternF578Oct 24, 2024

  Based on record review, and resident and staff interviews the facility failed to provide written advance directive information and/or an opportunity to formulate an advance directive for 10 of 33 residents reviewed for advance directives (Residents #2, #14, #22, #42, #45, #49, #72, #80, #109, and #427). The findings included: a. Review of Resident #2's medical record revealed the Resident was admitted to the facility on [DATE] with diagnoses that included heart failure, chronic obstructive pulmonary disease, and a history of a stroke. The review revealed a full code Physician order dated 8/23/24. There was no documentation in the record for education regarding formulation of an advance directive and/or an opportunity to formulate an advance directive was offered. b. […]

• No harm, potential for more than minimal, patternF880Oct 24, 2024

  Based on observations, record review, and staff interviews, the facility failed to implement their infection prevention program policies and procedures when 1) Unit Manager #2 failed to wear a gown and did not perform hand hygiene between glove changes while performing tracheostomy care for a resident on Enhanced Barrier Protection (EBP) (Resident #112), 2) when the Wound Treatment Nurse failed to perform hand hygiene between glove changes during the observation of wound treatment (Resident #115), and 3) when Nurse Aide #1 was observed carrying uncontained dirty linen in the hallway. […]

• No harm, potential for more than minimal, patternF814Jan 14, 2022

  Based on observations and staff interviews the facility failed to maintain the area surrounding the dumpster free of debris for 2 of 2 dumpsters observed. The findings included: During an observation of the dumpster area on 1/11/22 at 10:46 AM, 2 disposable gloves were observed behind dumpster # 1, assorted papers, and a jelly cup were between dumpster #1 and dumpster # 2. Broken glass from a fluorescent light bulb was observed between dumpster #2 and the grease disposal container. During a second observation on 1/13/22 at 9:54 AM 2 disposable gloves were behind dumpster # 2, a jelly cup and clear broken glass were between dumpster #1 and dumpster # 2. Broken glass from a fluorescent light bulb was observed between dumpster #2 and the grease disposal container. […]