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Sunset Manor Avera Health: CPR Readiness Failure - SD
The training gap emerged during a federal inspection following an incident involving resident 52....
Latest reports, citations, and penalties from CMS data
The training gap emerged during a federal inspection following an incident involving resident 52....
Two days later, the same resident set their bed on fire....
The resident at Aliya of Evanston said he usually gets his scheduled morning medications between 8:00 AM and 9:00 AM....
The resident, identified as R3 in inspection records, first entered Kalkaska Memorial Health Center on September 28, 2023, and was later readmitted....
CMT A, who was working with the resident's roommate, told the resident he had to get up....
The physical altercation occurred on November 22 when CNA #1 entered the resident's room to help pull up his pants after wound care....
The incident at Total Rehab Moorestown exposed confusion among staff and management about basic safety protocols during bathing assistance....
Resident CL1, admitted with a T11-T12 compression fracture, was prescribed Lyrica 25 mg three times daily to treat nerve pain....
Equally concerning, inspectors found the facility did not properly report investigation results to the required oversight bodies....
Under federal regulations, nursing homes must implement comprehensive systems to protect sensitive health information from unauthorized access or disclosure....
## Scope of Documented Deficiencies The facility received a citation under federal regulatory tag F0812, which governs food safety standards in nursing homes....
Resident #5 was discovered lying clothed in Resident #11's bed on July 8, according to a facility incident report....
## Critical Screening Requirements Overlooked PASARR represents a fundamental safeguard in the nursing home admission process....
The deficiency was one of 12 violations identified during the comprehensive federal review of the facility's operations and care standards....
The appointments never happened....
The resident had recently been hospitalized for surgery with psychiatric symptoms worsening afterward....
Nursing home residents are among the most vulnerable populations when it comes to infectious disease....
It wasn't the only recording problem....
The medical provider only learned of the death when someone eventually contacted them, well past the normal timeframe for signing death certificates....
The man, identified in inspection records only as Resident 111, told a licensed practical nurse that he wanted to be shaved on days he gets cleaned up....