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Facility Report

Report Information

Facility Name

Tiffany's Family Care Home

Visit Type

Monitoring

Visit Date

12-28-2023

Facility Report Rule(s)

Rule Number

10A NCAC 13G

Rule Section

.0400 Staff Qualifications

Rule Sub Section

.0403 QUALIFICATIONS OF MEDICATION STAFF

Outcome

N/A

Severity

Standard deficiency

Narrative

Facility was not in compliance of rule area and a Corrective Action Report issued

Rule Number

10A NCAC 13G

Rule Section

.0500 Staff Orientation, Training, Competency

Rule Sub Section

.0507 TRAINING ON CARDIO - PULMONARY RESUSCITATION

Outcome

N/A

Severity

Type B

Narrative

Facility was not in compliance of rule area and a Corrective Action Report issued

Rule Number

10A NCAC 13G

Rule Section

.0500 Staff Orientation, Training, Competency

Rule Sub Section

.0504 COMPETENCY VALIDATION FOR LICENSED HEALTH PROFESSIONAL SUPPORT TASKS

Outcome

N/A

Severity

Standard deficiency

Narrative

Facility was not in compliance and a Corrective Action Report issued

Rule Number

General Statutes

Rule Section

G.S. 131D - 4.5B Adult care home medication aides; training and competency evaluation requirements

Outcome

N/A

Severity

Standard deficiency

Narrative

Facility was not in compliance and Corrective Action Report issued