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Willow Haven: Infection Control Failures in Wound Care - OH
Using those same gloves, she picked up a clean washcloth and rinsed the resident in the same order....
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Using those same gloves, she picked up a clean washcloth and rinsed the resident in the same order....
The resident, identified in inspection documents as R907, was admitted on May 16, 2025....
The gap came to light during a complaint inspection on August 21, 2025....
The resident, identified in inspection records only as R1, was not someone who could be easily overlooked....
Then she moved directly to the food cart, picked up another tray, and set it down in front of Resident 22....
Federal inspectors documented the pattern during a complaint inspection completed August 21, 2025....
The facility's wound care nurse, who would have helped cover some of those hours, has been out on medical leave....
The resident, identified in inspection records only as R1, was prescribed Pregabalin three times a day for neuropathic pain....
Inspectors requested those records on the afternoon of August 20, 2025....
The director of nursing told inspectors there was no expectation for staff to do it....
The patient was in their nineties....
He ordered the leg elevated, an ice pack applied, and said he'd return in an hour....
Both were residents at Tattnall Healthcare Center, a nursing facility on Memorial Drive in this small south Georgia city....
The finding, documented during a complaint inspection completed August 22, affected multiple residents....
The guardian reported this to inspectors during a phone interview on August 21, 2025....
The inspection was conducted on August 21, 2025, following a complaint....
Federal inspectors arrived at Faith Haven on August 21, 2025, following a complaint....
He said they had been working on it....
The section of the admission agreement where those charges should have been spelled out had been left empty....
The reason: a recent sale of the facility had left current staff without access to old personnel records....