Chautauqua Guest Home #2: Pain Management Failures - IA
Staff E worked the evening shift on September 15 and charted that Resident #14 displayed clear signs of pain and facial grimacing....
Latest reports, citations, and penalties from CMS data
Staff E worked the evening shift on September 15 and charted that Resident #14 displayed clear signs of pain and facial grimacing....
The violation, which posed immediate danger to resident health or safety, affected a small number of residents at the 70-bed facility....
The woman, identified in inspection records as R9, has a cancer ulcer under her right breast that requires daily wound dressing changes....
Staff also failed to monitor the resident for side effects or track whether the medication was effectively managing agitation episodes....
The September inspection at Cedars of Lebanon Care Center found three tablets sitting in a medication cup inside Resident 18's bedside table....
The incident occurred at Otterbein North Shore, where federal inspectors found CNA #106 operating the lift independently at 7:50 a.m....
Inspectors documented extensive carpet damage during a September 19 complaint investigation....
Resident 1, who had dementia, regularly walked the hallways with his pants down, exposing himself to other residents and staff....
The incident involved two residents identified in records as R2 and R3....
Staff are required to document all bathing assistance in electronic records, including relevant observations....
The substitution continued for months at Allure Of The Quad Cities without anyone noticing the prescribed steroid cream had run out in May....
Federal inspectors found the facility failed to ensure safe transfers for residents requiring mechanical assistance....
That appointment never happened....
The facility's interim director of nursing admitted the tracking system collapsed entirely when her predecessor left in July....
Federal inspectors discovered the damage during a September complaint investigation....
Her employee file contained only a copy of the facility's restraint reduction policy that she signed in October 2024, with no evidence of actual training....
Laboratory staff made five separate attempts to collect blood samples between June 21 and June 25....
The Director of Nursing told inspectors that PT#1 should have covered his index finger to prevent cross contamination....
Resident 54, who has bipolar disorder and anxiety along with an intraspinal abscess, was supposed to receive trazodone at 9:00 P.M....
The September 13 incident exposed multiple safety failures at the 56-bed facility....