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Facility Report
Report Information
The Addison of Knightdale
Complaint Investigation
10-27-2022
Facility Report Rule(s)
10A NCAC 13F
.0600 Staffing
.0602 MANAGEMENT OF FACILITIES WITH A CAPACITY OR CENSUS OF 31 TO 80 RESIDENTS
Unsubstantiated
No deficiency
The facility failed to assure responsibility for operation of facility.
10A NCAC 13F
.0600 Staffing
.0604 PERSONAL CARE AND OTHER STAFFING
Unsubstantiated
No deficiency
The facility failed to provide adequate staffing.
10A NCAC 13F
.1000 Medications
.1010 PHARMACEUTICAL SERVICES
Unsubstantiated
No deficiency
The facility failed to assure provision of pharmaceutical services.
10A NCAC 13F
.0900 Resident Care and Services
.0901 PERSONAL CARE AND SUPERVISION
Substantiated
Type B
The facility failed to provide adequate supervision.
10A NCAC 13F
.0900 Resident Care and Services
.0902 HEALTH CARE
Unsubstantiated
No deficiency
The facility failed to provide care and services.
10A NCAC 13F
.0900 Resident Care and Services
.0904 NUTRITION AND FOOD SERVICE
Unsubstantiated
Open/Pending
The facility failed to provide snacks to residents in between meals.
10A NCAC 13F
.0900 Resident Care and Services
.0904 NUTRITION AND FOOD SERVICE
Substantiated
Standard deficiency
The facility failed to assure that hot foods were served hot.
10A NCAC 13F
.0900 Resident Care and Services
.0904 NUTRITION AND FOOD SERVICE
Substantiated
Standard deficiency
The facility failed to provide nutritionally adequate and palatable meals.
10A NCAC 13F
.0900 Resident Care and Services
.0905 ACTIVITIES PROGRAM
Unsubstantiated
No deficiency
The facility failed provide activities that encouraged resident involvement.
10A NCAC 13F
.0400 Staff Qualifications
.0407 OTHER STAFF QUALIFICATIONS
Unsubstantiated
No deficiency
The facility failed to assure that staff were qualified.
10A NCAC 13F
.0400 Staff Qualifications
.0406 TEST FOR TUBERCULOSIS
Unsubstantiated
No deficiency
The facility failed to assure tuberculosis testing for residents and staff.
10A NCAC 13F
.1000 Medications
.1004 MEDICATION ADMINISTRATION
Unsubstantiated
No deficiency
The facility failed to assure that medications were administered by qualified staff.
10A NCAC 13F
.0300 Physical Plant
.0306 HOUSEKEEPING AND FURNISHINGS
Unsubstantiated
No deficiency
The facility failed to provide a clean and orderly environment to the residents.
10A NCAC 13F
.0300 Physical Plant
.0306 HOUSEKEEPING AND FURNISHINGS
Unsubstantiated
No deficiency
The facility failed to provide adequate furnishings.
10A NCAC 13F
.1300 Special Care Units for Alzheimer and Related Disorders
.1309 SPECIAL CARE UNIT STAFF ORIENTATION AND TRAINING
Unsubstantiated
No deficiency
The facility failed to assure completion of required staff training for the memory care unit.