Deficiencies per Year
4
3
2
1
0
Unclassified
NC DHSR Star Rating History
| Date | Rating | Score | Merits | Demerits | Type |
|---|---|---|---|---|---|
| Nov 21, 2024 | 97 | 1 | 4 | Annual Inspection | |
| Jun 30, 2023 | 105.5 | 7.5 | 2 | Annual Inspection | |
| Jul 6, 2022 | 98 | 0 | 2 | Re-Issued |
Inspection Report
Annual Inspection
Deficiencies: 2
Oct 9, 2024
Visit Reason
The Adult Care Licensure Section and Mecklenburg County Department of Social Services conducted an annual and follow-up survey on 10/09/2024 to assess compliance with medication administration and record accuracy.
Findings
The facility failed to ensure one of three sampled residents (Resident #2) was administered a prescribed medication for pain/stiffness (cyclobenzaprine) as ordered due to lack of medication availability between 09/20/24 and 10/09/24. Additionally, the medication administration records (MAR) were inaccurate for Resident #2, missing documentation for venlafaxine in October 2024 despite the medication being administered.
Deficiencies (2)
| Description |
|---|
| Failed to ensure Resident #2 was administered cyclobenzaprine 10mg as ordered between 09/20/24 and 10/09/24 due to medication not being available in the facility. |
| Medication administration records (MAR) were inaccurate for Resident #2, missing venlafaxine 150mg entry in October 2024 despite medication being administered. |
Report Facts
Medication administration dates documented: 30
Medication administration dates documented: 8
Medication supply duration: 28
Medication quantity dispensed: 56
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Documented in error administering cyclobenzaprine to Resident #2 and responsible for auditing MAR | |
| Nurse Practitioner | Interviewed regarding Resident #2's medication and provider status |
Inspection Report
Annual Inspection
Deficiencies: 1
Jun 1, 2023
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey on 06/01/2023 at Blissful Living Senior Care.
Findings
The facility failed to ensure that an FL-2 medical examination form was completed annually for 1 of 2 sampled residents. Specifically, Resident #1's last FL-2 was dated 02/17/2022, and the staff were unaware that a new FL-2 was required annually.
Deficiencies (1)
| Description |
|---|
| Failure to ensure an FL-2 medical examination was completed annually for Resident #1. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Supervisor in Charge (SIC) | Interviewed and acknowledged knowledge gap regarding annual FL-2 completion. | |
| Administrator | Interviewed and acknowledged unawareness of annual FL-2 requirement. |
Inspection Report
Original Licensing
Deficiencies: 1
Jun 9, 2022
Visit Reason
The Adult Care Licensure Section conducted an initial survey of Blissful Living Senior Care on 06/09/2022.
Findings
The facility failed to accurately document administration of medications on the Medication Administration Record (MAR) for one resident, due to duplicate entries and inconsistent administration times for an antacid medication.
Deficiencies (1)
| Description |
|---|
| Failure to accurately document administration of medications on the MAR for one resident, including duplicate entries and incorrect administration times for antacid medication. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Supervisor in Charge | Supervisor in Charge | Responsible for administering Resident #1's medications and interviewed regarding medication documentation. |
| Administrator | Administrator | Responsible for administering Resident #1's medications and interviewed regarding medication documentation. |
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