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Facility Report

Report Information

Facility Name

Avendelle Assisted Living at Wyckford

Visit Type

Complaint Investigation

Visit Date

04-03-2023

Facility Report Rule(s)

Rule Number

10A NCAC 13G

Rule Section

.0900 Resident Care and Services

Rule Sub Section

.0904 NUTRITION AND FOOD SERVICE

Outcome

Unsubstantiated

Severity

N/A

Narrative

Based on interviews, observations and record reviews there are no deficiencies in the above rule area.

Rule Number

10A NCAC 13G

Rule Section

.0900 Resident Care and Services

Rule Sub Section

.0901 PERSONAL CARE AND SUPERVISION

Outcome

Unsubstantiated

Severity

N/A

Narrative

Based on observation, interview and record review there are no deficiencies in the above rule area.

Rule Number

10A NCAC 13G

Rule Section

.1200 Policies, Records and Reports

Rule Sub Section

.1213 REPORTING OF ACCIDENTS AND INCIDENTS

Outcome

Substantiated

Severity

Standard deficiency

Narrative

Based on observations, interviews, and record reviews for 1 of 3 residents , the facility failed to notify Responsible Party/DSS of incidents and or injuries. A CAR will be issued within 10 working days and forwarded to the facility (Standard deficiency).