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Forrest Oakes: 1 Aide for 54 Residents - NC
A separate citation under **F-Tag 725** addressed the insufficient staffing levels that drove those care failures....
Latest reports, citations, and penalties from CMS data
A separate citation under **F-Tag 725** addressed the insufficient staffing levels that drove those care failures....
The facility, located at 5943 Telegraph Road, was also cited for wound care documentation failures and gaps in tuberculosis screening for employees....
Despite this, the facility obtained consent for three psychotropic medications â aripiprazole, Lexapro, and Depakote â directly from the resident himself....
Transmission-based precautions are a foundational element of infection control in congregate care settings....
Inspectors reviewed 35 residents and found violations affecting a significant portion of the sample population....
According to the inspection report, the resident left the building in an attempt to locate his wife....
His diagnoses included **dementia and Alzheimer's disease**....
When a facility fails to monitor these residents closely, the consequences can escalate rapidly....
Combined, the 77-bed non-profit facility at 6 Garden Center Drive accumulated **15 citations** across both surveys....
The goal was to ensure the facility maintained ongoing compliance with federal care planning requirements....
The facility's own records confirmed nurses gave the medication at the scheduled 6:00 p.m....
A licensed practical nurse on duty asked CNA #3 to assist CNA #1 with providing care to Resident #1, who had been described as combative....
The facility was also cited for failing to follow CDC pneumococcal vaccination guidelines for multiple residents....
The survey revealed that the facility's Quality Assurance and Performance Improvement (QAPI) committee had failed to maintain compliance with this standard....
PTSD affects a notable portion of the elderly population, including veterans and individuals who have experienced trauma throughout their lives....
The facility's own nursing leadership confirmed the breakdowns were the direct result of chronic understaffing that administration failed to address....
Additionally, R29 was prescribed active range of motion exercises using a two-pound dumbbell for her right upper extremity, four times per week....
At least **six residents** were identified in connection with behavioral incidents over a 30-day period leading up to the inspection....
On June 18, 2024, one cook was observed touching a trash can to discard used gloves, then putting on new gloves without washing her hands....
Turning and repositioning is one of the most basic and well-established interventions in long-term care....