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Belpre Landing: Staffing Assessment Failures - OH
Three licensed practical nurses covered the facility that night, from 6 p.m....
Latest reports, citations, and penalties from CMS data
Three licensed practical nurses covered the facility that night, from 6 p.m....
The records showed that Nurse #2, a fellow agency nurse, signed as witness to the disposal of those tablets....
While no actual harm occurred to residents during the documented incidents, inspectors determined there was potential for more than minimal harm....
The attack occurred when R11, who had been refusing medications and care, entered the room shared by residents R10 and R14....
None of the three complaints had been reported to outside authorities....
That was the finding at the center of a January 2026 complaint inspection at Harris Health Center LLC, a nursing facility in East Providence....
The violations involved both general medications and controlled substances, which require heightened security measures under federal regulations....
The nurse said she would have to throw the insulin away....
His immunization record contained no documentation that he had been offered the shot, received it, or signed a form declining it....
While no residents were actually harmed, inspectors determined there was potential for more than minimal harm to occur due to these safety lapses....
On November 28, 2025, a nurse recorded the wound at 1.42 square centimeters....
On December 20, 2025, a bladder scan showed he was holding 855 milliliters of urine....
The resident, identified only as Resident N, was on Enhanced Barrier Protocol, a heightened infection precaution status tied directly to the tracheostomy....
The resident, identified in inspection records as Resident B, had confusion and a documented pattern of pressing her call light frequently....
The nurse turned back to work on the resident's gastric tube and then looked up....
When questioned, the Social Service Director acknowledged they should have worn hairnets before entering the kitchen workspace....
Inspectors classified the lapse as actual harm affecting a small number of residents....
Her stage 4 sacral wound and stage 4 left ischium wound were visible....
Inspectors observed the two residents, identified in federal records as R15 and R16, sitting in geri-chairs in the dining room at 1:29 p.m....
"There was a miscommunication," the facility told inspectors....