Inglis House: Nurse Skipped Doctor Notification for Wound - PA
That assumption, inspectors found, was wrong....
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That assumption, inspectors found, was wrong....
Federal inspectors arrived on August 25, 2025, responding to a complaint....
The nurse practitioner caring for both residents described what the medication errors had done to each of them....
Bacon and sausage cold â and raw....
The wound care orders weren't entered until June 13, 2025, three days after the resident was admitted on June 10....
The unit in question is the Special Care Unit, or SCU, which houses residents with dementia....
Then a registered nurse walked out of the dining room and acknowledged what was obvious: the cart should have been locked....
He couldn't produce documentation of current dishwasher temperatures....
The therapist told inspectors she had been working with R103 when she noticed the wound on the inner side of his left heel....
The director of nursing told inspectors he had conducted spot checks of controlled drug records on other units after the concern surfaced....
The milk incident happened on June 21, 2025, at approximately 8:20 in the morning....
The facility had no dedicated shower aide covering those two halls....
Inspectors first documented the conditions on August 17, 2025, then returned on August 19 and found them unchanged....
The finding affected a small number of residents, according to the August 21, 2025 inspection report....
Resident E told inspectors that a couple of months before the visit, she had soiled herself in bed and needed to be changed....
When inspectors arrived on August 22, the Director of Nursing looked at it and said, "It could be damaged, it could be compromised." It was not a revelation....
She wasn't wrong to be confused....
That is what inspectors found when they arrived at Aliya of Glenwood on August 22, 2025....
The observation happened at 3:10 p.m....
Between batches, she washed the bowl with detergent and rinsed it with water....