HeritageSpring Healthcare: Missing Blood Thinner - OH
Instead, nurses working from an incomplete fax never entered the medication into the system....
Latest reports, citations, and penalties from CMS data
Instead, nurses working from an incomplete fax never entered the medication into the system....
She told inspectors during a November 18 interview that she realized the error after the wrong medication had been infusing for less than five minutes....
The resident told inspectors on September 29, 2025 that staff had been withholding her medication because her blood pressure was low....
Then comparing those requirements against the actual food delivered....
Enhanced barrier precautions are implemented for residents at higher risk of infection transmission....
Federal inspectors observed the violation during a complaint investigation at the 58-bed facility....
The violation was classified as immediate jeopardy to resident health or safety, the most serious category of nursing home deficiency....
The incident occurred at Wright Rehabilitation and Healthcare Center on November 11, when Resident #10 complained of being cold during the evening smoke break....
Resident #78 refused the bed bath and specifically requested a shower....
The violation prompted emergency response protocols when CNA A requested assistance during the incident involving Resident #1....
The resident, identified as R1 in the inspection report, had been admitted to Riverside Health & Rehab Center for a seven-day respite stay....
The incident came to light during a family visit on July 20, 2025, when the resident was found crying and holding another family member's hand....
The problem occurred when previous assessments weren't completed â the system would simply stop generating new ones until the backlog was cleared....
The Licensed Practical Nurse assigned to care for the resident admitted during questioning that she "rarely" took the patient's blood pressure....
The inspection on November 18 revealed unsanitary conditions throughout the facility's food service operation....
Two therapists at Waveny Care Center accepted the monetary gifts despite facility policy prohibiting staff from taking gratuities from residents....
"Staff don't go check and the screaming for help is what bothers me," Resident 3 told inspectors during a November 7 interview....
The first resident was rushed to the hospital on July 30 after an episode of hypoxia and decreased responsiveness....
The violations occurred despite the facility's own assessment stating it should staff at least one RN for eight hours daily, seven days a week....
According to progress notes from that meeting, staff acknowledged they had never told the family about the roommate change....