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Facility Report

Report Information

Facility Name

Destiny Family Care Home #4

Visit Type

Complaint Investigation

Visit Date

06-22-2022

Facility Report Rule(s)

Rule Number

10A NCAC 13G

Rule Section

.0900 Resident Care and Services

Rule Sub Section

.0901 PERSONAL CARE AND SUPERVISION

Outcome

Unsubstantiated

Severity

No deficiency

Narrative

Staff shall provide supervision of residents in accordance with each resident's assessed needs, care plan and current symptoms.

Rule Number

10A NCAC 13G

Rule Section

.1200 Policies, Records and Reports

Rule Sub Section

.1213 REPORTING OF ACCIDENTS AND INCIDENTS

Outcome

Unsubstantiated

Severity

No deficiency

Narrative

A family care home shall notify the county department of social services of any accident or incident resulting in resident death or any accident or incident resulting in injury to a resident requiring referral for emergency evaluation, hospitalization, or medical treatment other than first aid.

Rule Number

10A NCAC 13G

Rule Section

.0900 Resident Care and Services

Rule Sub Section

.0906 OTHER RESIDENT CARE AND SERVICES

Outcome

Substantiated

Severity

Type A1

Narrative

Other Findings: If the whereabouts of a resident are unknown and there is reason to be concerned about his safety, the person in charge in the home must immediately notify the resident's responsible person, the appropriate law enforcement agency and the county department of social services.