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Feather River Care: Aide Tied Resident to Chair - CA
She told inspectors she acted at the resident's request but now realizes she should have refused....
Latest reports, citations, and penalties from CMS data
She told inspectors she acted at the resident's request but now realizes she should have refused....
The incident occurred at Folsom Care Center, where Resident 1 has lived since 2020 with diagnoses of traumatic brain injury and dementia....
Yet the Medical Records Director revealed the signature problem went deeper than simple oversight....
RN 1 spoke with the resident's family member at 4:47 a.m....
The resident arrived at her doctor's office on October 13 with wet dressings covering two open wounds on her left foot....
The breakdown in communication centered on Resident #1, whose scheduled bath days were Monday, Wednesday, and Friday....
She told inspectors the facility had no proof residents were receiving their scheduled baths....
The woman, who has a documented history of falls and muscle weakness, had to reach down from her bed to grab the device that was supposed to keep her safe....
Federal inspectors found the violation at Mustang Park Therapy and Living Center during a November complaint investigation....
The resident never returned from the hospital....
Federal inspectors found the practice violated requirements to provide activities that meet residents' individual needs and preferences....
He revealed he was proud to be Muslim and had told everyone about his religion, including staff members....
His broken television, which could have allowed him to watch religious programming, remained unfixed despite facility awareness of the problem....
During a November 26 interview at 2:29 p.m., she admitted she had not started any specialized training in infection prevention....
When inspectors questioned nurses about the missing orders, staff admitted they weren't sure if orders were needed....
The resident stayed outside until 1 AM on October 8, repeatedly telling staff he was "enjoying the fresh air" and wasn't ready to come inside....
Federal inspectors found the violations during a complaint investigation....
The window was open during their visit....
Medication Aide G parked the Station A cart close to both the TV room and dining area at 9:52 a.m....
The November 25 discovery at Parklane West Healthcare Center revealed a fundamental breakdown in medication security....