The Carrolton of Williamston

In the surveyor’s words

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

• Actual harm, isolatedF725Mar 13, 2024

  Based on observations, record review, resident interview, staff interviews and a Physician interview, the facility failed to provide sufficient nursing staff to ensure a resident was administered morning scheduled medications in the allotted time frame for 1 of 1 resident reviewed for significant medications (Resident #211). Resident #211 not receiving her scheduled morning medications in the allotted time frame caused Resident #211 to remain in bed for fear of falling due to feeling dizzy. […]

• Actual harm, isolatedF760Mar 13, 2024

  Based on record review, observation, resident interview, staff interviews and a Physician interview, the facility failed to administer significant medications of a resident's medication regimen in the scheduled time frame that caused the resident to remain in bed for fear of falling due to feeling dizzy for 1 of 1 resident reviewed for administration of significant medications (Resident #211). Findings included: Resident #211 was admitted to the facility on [DATE] with diagnoses including hypertension, atrial fibrillation, epilepsy (seizures), anxiety and pain. Resident #211's care plan dated 2/29/2024 included a focus for hypertension and atrial fibrillation, and interventions included giving antihypertensive medications as physician ordered and monitoring for side effects. […]

• Actual harm, isolatedF689Feb 27, 2023

  Based on record review, staff interview, physician assistant interview, and physician interview the facility failed to provide care in a safe manner resulting in a hematoma and a left ankle fracture for one (Resident #1) of three residents reviewed for accidental falls. Findings included: Resident #1 had cumulative diagnoses some of which included epilepsy (seizure disorder), hemiplegia (paralysis of one side of the body) and hemiparesis (weakness or inability to move one side of the body) affecting right non-dominate side, and cerebral infarction. Resident #1 had a current physician's order initiated on 10/19/2022 for 500 milligrams of Keppra to be administered as one tablet two times a day for a seizure disorder. […]

• No harm, potential for more than minimal, widespreadF727Mar 13, 2024

  Based on record reviews and staff interviews, the facility failed to have a Registered Nurse (RN) for at least eight consecutive hours a day, 7 days a week, to designate a director of nursing (DON) who worked on a full-time basis, and to have the DON only serve as a charge nurse when the average daily census was 60 residents or less for 23 of 39 days reviewed for staffing. Findings included: The nursing staff schedule and staff posting was reviewed from 2/1/24 through 3/10/24. The daily staff sheet indicated a Registered Nurse (RN) was not scheduled for at least eight consecutive hours a day on 2/3/24. Review of staff timecard dated 2/3/24 showed there was not an RN on duty at the facility that day. Review of the staffs' timecards dated 2/10/24 showed one RN worked. […]

• No harm, potential for more than minimal, widespreadF835Mar 13, 2024

  Based on record review, North Carolina Board of Nursing Registry, observations, resident interviews, staff interviews and a Physician interview, the facility failed to provide effective leadership and oversight to ensure the Director of Nursing (DON) implemented her responsiblities in these areas: sufficiently staffing the facility to administer medications in a timely manner, having a registered nurse work eight consecutive hours daily and a DON who worked full time and only serves as a charge nurse when census was less than 60 residents, monitoring and tracking expiration of nursing licenses (Nurse #3) and nurse aide certifications (NA #9, NA # 4, NA #1, and NA #8), completing yearly performance evaluations for nurse aides (NA #4, NA #7, NA #6 and NA #5) and providing and monitoring 12… […]