Inspection Reports for Lynndale Nursing
6628 Keystone Dr, Raleigh, NC 27612, USA, NC, 27612
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% better than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
NC DHSR Star Rating History
| Date | Rating | Score | Merits | Demerits | Type |
|---|---|---|---|---|---|
| Jan 10, 2025 | 94 | 2 | 8 | Re-Issued |
Inspection Report
Original Licensing
Deficiencies: 5
Date: Nov 21, 2024
Visit Reason
The Adult Care Licensure Section conducted an initial survey on November 20 and 21, 2024 to assess compliance with licensing requirements for Lynndale Senior Living Home.
Findings
The survey identified multiple deficiencies including failure to complete criminal background checks for staff, incomplete or outdated medical examinations for residents, lack of timely physician signatures on resident care plans, inaccuracies and omissions in medication administration records, and absence of required quarterly medication reviews by a licensed pharmacist or healthcare provider.
Deficiencies (5)
Facility failed to ensure 1 of 4 sampled staff had a criminal background check completed upon hire.
Facility failed to ensure the medical examination documented on the resident's FL-2 was no more than 90 days prior to admission for 1 of 3 sampled residents.
Facility failed to ensure residents' physicians signed and dated care plans within 15 days of assessment for 2 of 3 sampled residents.
Facility failed to ensure accuracy of medication administration records for 2 of 3 residents, including missing documentation of medication administration reasons and effects.
Facility failed to ensure a licensed pharmacist, provider, or registered nurse completed a quarterly on-site medication review for 1 of 1 sampled resident.
Report Facts
Number of sampled staff: 4
Number of sampled residents: 3
Medication administration dates documented: 4
Medication administration dates documented: 0
Medication orders listed: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Manager and Medication Aide | Named in deficiency for lack of criminal background check and medication administration |
| Administrator | Responsible for requesting criminal background checks, ensuring medication administration accuracy, and care plan completion | |
| Medication Aide | Administered medications and involved in medication administration record issues | |
| Primary Care Provider | New provider involved in care plan signing and medication orders |
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