Roosevelt Rehab: Narcotic Documentation Failures - PA
Staff signed the oxycodone out of the narcotic reconciliation log but left the medication administration record blank....
Latest reports, citations, and penalties from CMS data
Staff signed the oxycodone out of the narcotic reconciliation log but left the medication administration record blank....
The facility's own risk management report documented the August medication error....
Federal inspectors found the debris covering the wall next to Resident 37's bed during a January complaint investigation....
Federal inspectors discovered the violation during a complaint investigation completed January 29....
She acknowledged that admission nurses were responsible for reviewing all hospital discharge summaries and updating care plans accordingly....
One resident dropped from 108 pounds to 84.7 pounds, losing 21.57% of her body weight....
The woman, identified as R385 in federal inspection records, was admitted to the facility on December 11, 2024, from an acute care hospital....
The resident, identified as Resident B, was supposed to receive physician notification whenever blood glucose levels reached 351 or higher....
The facility's nursing home administrator went on administrative leave January 31 and still hadn't returned when state inspectors arrived March 20....
The incident occurred on February 3rd at 10:35 a.m....
The violations spanned three separate time periods....
Licensed Practical Nurse #1 mixed potassium chloride liquid into thickened water and brought it to the resident's room with other medications....
An hour later, a wound nurse entered to perform treatment while gnats continued flying in the air and landing on the patient's gown and bandages....
The same week, nurses were pumping oxygen into Resident 61's lungs at more than double the prescribed rate....
R104 arrived at the facility on June 29, 2024, with a traumatic brain injury and subarachnoid hemorrhage....
The most egregious case involved a morbidly obese resident who was supposed to receive compression stockings twice daily to prevent dangerous blood clots....
The resident, identified as Resident 3 in federal inspection records, dropped from 219 pounds in September to 173 pounds by February, a 23.29% weight loss....
The complaint involved three residents who all requested that the same two certified nursing assistants be removed from their care assignments....
The dangerous temperatures at Weakley County Rehabilitation and Nursing Center put cognitively impaired residents at immediate risk of burns....
Resident 35 arrived at Shoreline Healthcare Center in March with a left hip fracture and small heel blisters....