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Facility Report

Report Information

Facility Name

The Addison of Knightdale

Visit Type

Complaint Investigation

Visit Date

11-15-2021

Facility Report Rule(s)

Rule Number

10A NCAC 13F

Rule Section

.0900 Resident Care and Services

Rule Sub Section

.0909 RESIDENT RIGHTS

Outcome

Substantiated

Severity

Type B

Narrative

Type B Violation to be issued in 10A NCAC 13F .0909 G.S. 131D-21(4) Declaration of Resident Rights

Rule Number

10A NCAC 13F

Rule Section

.0900 Resident Care and Services

Rule Sub Section

.0901 PERSONAL CARE AND SUPERVISION

Outcome

Unsubstantiated

Severity

No deficiency

Narrative

Due to the lack of sufficient evidence the allegation was unsubstantiated.

Rule Number

10A NCAC 13F

Rule Section

.0900 Resident Care and Services

Rule Sub Section

.0902 HEALTH CARE

Outcome

Unsubstantiated

Severity

No deficiency

Narrative

Due to the lack of sufficient evidence the allegation was unsubstantiated.

Rule Number

10A NCAC 13F

Rule Section

.1200 Policies, Records and Reports

Rule Sub Section

.1212 REPORTING OF ACCIDENTS AND INCIDENTS

Outcome

Unsubstantiated

Severity

No deficiency

Narrative

Due to the lack of sufficient evidence the allegation was unsubstantiated.

Rule Number

10A NCAC 13F

Rule Section

.1000 Medications

Rule Sub Section

.1004 MEDICATION ADMINISTRATION

Outcome

Unsubstantiated

Severity

No deficiency

Narrative

Due to the lack of sufficient evidence the allegation was unsubstantiated.

Rule Number

10A NCAC 13F

Rule Section

.0900 Resident Care and Services

Rule Sub Section

.0909 RESIDENT RIGHTS

Outcome

Unsubstantiated

Severity

No deficiency

Narrative

Due to the lack of sufficient evidence the allegation was unsubstantiated.

Rule Number

10A NCAC 13F

Rule Section

.0900 Resident Care and Services

Rule Sub Section

.0909 RESIDENT RIGHTS

Outcome

Substantiated

Severity

Standard deficiency

Narrative

Standard Citation to be issued in 10A NCAC 13F .0909 G.S. 131D-21 (7) Declaration of Resident Rights