The Greens at Cabarrus

In the surveyor’s words

From the most serious findings on record at The Greens at Cabarrus, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jul 25, 2023

  Based on observation, record review and staff, Wound Nurse Practitioner (WNP), Nurse Practitioner (NP), and Physician interviews, the facility failed to prevent resident's gangrenous right foot ulcer from contracting a maggot infestation. The maggots were discovered on 7/10/23 by Nursing Aide #1 (NA#1) during the early morning rounds. The Nurse Practitioner was notified and saw a whitish worm-like movement in resident's right foot ulcer that resulted in Resident #1 being transported to the emergency room (ER) for evaluation and treatment. […]

• Actual harm, isolatedF689Feb 18, 2022

  Based on record review and staff, Family Member and Physician interviews, the facility failed to provide care in a safe manner for 2 of 3 residents, Resident #1 and Resident #2. Resident #1 sustained a left femur fracture due to a fall during transfer. Resident #2 fell from the bed while being turned on an air mattress for incontinence care. Findings included: 1. Resident #1 admitted to the facility on [DATE] with diagnoses of [CONDITION(S)], spinal stenosis, and [CONDITION(S)]. She discharged to the hospital on 12/17/2021 with a left leg fracture due to fall. […]

• Actual harm, isolatedF689May 13, 2021

  Based on observations, resident, staff and nurse practitioner interviews and record review, the facility failed to prevent a resident from falling off the bed during care for 1 of 3 residents, Resident #60, reviewed for supervision to prevent accidents. Resident #60 was turned to her side, rolled off the bed sustaining pain and bruising to her elbow and shoulder. Findings included: Resident #60 admitted to the facility on [DATE] and her diagnoses included [CONDITION(S)] and [CONDITION(S)]. A Care Plan revised on 3/27/2021 stated Resident #60 required extensive to total assistance of one staff member for incontinence care and extensive assistance of one staff member to turn and reposition in bed due to impaired mobility and obesity. […]

• No harm, potential for more than minimal, patternF761Feb 9, 2023

  Based on observations, record review and staff interviews, the facility failed to keep nutritional supplements cold that required refrigeration in accordance with the manufacturer's instructions for 2 of 2 supplements on 1 of 2 medication carts (300 hall). The facility also failed to date a multiple use medication bottle when opened or check the medication expiration date for 1 of 10 medication bottles on 1 of 2 medication carts (400 hall). In addition, the facility failed to date insulin pens when opened for 5 of 8 insulin pens on 2 of 2 medication carts (300 and 400 hall). Findings included: The medication cart for the 400 hall was checked with Nurse #2 on [DATE] at 3:05 PM. […]

• No harm, potential for more than minimal, patternF563May 13, 2021

  Based on record review, observation, family member interview, and staff interviews, the facility limited visitation to the lobby or front entrance and failed to allow private, unsupervised, visits for one of one resident reviewed for visitation (Resident #39). Findings included: Resident #39 was admitted to the facility on [DATE]. The resident was residing in a private room at the time of the recertification. The Minimum Data Set (MDS) quarterly assessment with an Assessment Reference Date (ARD) of 4/6/21 indicated Resident #39 was in a persistent vegetative state with no discernable consciousness. Review of Resident #39's care plan, updated on 4/22/21 revealed a focus area which documented the resident's family was very supportive and involved. […]