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New Horizons Limestone Medication Safety Violations GA
However, interviews with nursing staff revealed that many were unaware of the unauthorized medications....
Latest reports, citations, and penalties from CMS data
However, interviews with nursing staff revealed that many were unaware of the unauthorized medications....
The violation highlights broader concerns about the facility's training oversight systems and their potential impact on resident care quality....
Licensed Practical Nurse #10, who was caring for the resident during the day shift, contacted the facility's nurse practitioner about the elevated heart rate....
However, the facility didn't request these records until August 2024 - six months later....
However, when questioned about qualifications, the DON admitted she lacked certification in infection control, as did the ADON....
The gap occurred because the facility had run out of the resident's ordered medication but failed to notify the prescribing provider about the shortage....
During a February 24 test tray evaluation, inspectors found that hot foods were being served well below safe temperatures....
Resident 1, who has dementia and major depressive disorder with psychotic symptoms, was creating disturbances that prevented her roommates from sleeping....
Many residents have weakened immune systems due to age, chronic conditions, or recent hospitalizations....
However, the subsequent response by licensed nursing staff failed to meet federal standards for basic life support provision....
**Resident 228** exemplifies the consequences of inadequate wound care....
The resident's air mattress was discovered to be set at 450 pounds, despite the resident weighing only 164.1 pounds....
Federal regulations require nursing homes to maintain water temperatures at no more than 120 degrees Fahrenheit to prevent burns and scalding injuries....
This citation emerged from complaint investigation IN00453866, indicating that concerns raised by external parties prompted the regulatory review....
Rather than pursuing alternative solutions or escalating the communication breakdown between providers, facility staff allowed the situation to continue....
This cross-contamination issue could have impacted 128 out of 133 residents who consume food orally....
Both employees were no longer working at the facility when the violations were identified....
The incident involved Resident 48, who was readmitted to the facility with complete paraplegia and essential hypertension and was receiving hospice care....
Embedded objects can cause serious complications including cellulitis, abscess formation, and systemic infection....
Proper assessment should include identifying environmental factors, interpersonal situations, or sensory experiences that may precipitate episodes....