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Valley View Health Campus: Pressure Ulcer Misdiagnosis - OH
The nurse recognized the wound dressing dated July 29 and could identify staff initials written on it....
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The nurse recognized the wound dressing dated July 29 and could identify staff initials written on it....
On eight separate days between July 24 and August 6, the facility failed to meet this threshold....
The gaps involved wound care medications for at least two residents....
Night shift workers had departed at 7 a.m., leaving behind a pill cup containing nine different drugs without any supervision....
Her medical record showed she was cognitively intact and required continuous oxygen therapy....
The August 1 incident involved a resident admitted with a broken right thigh bone and generalized muscle weakness....
The August 22 inspection revealed a breakdown in the facility's resident tracking system that put vulnerable patients at risk during extreme summer heat....
Shasta View Care Center failed to properly inform the resident about Abilify treatment, federal inspectors found during an August complaint investigation....
Federal inspectors found the facility failed to protect Resident #14, whose stroke left them unable to communicate beyond basic wants and needs....
During an interview on August 22 at 12:32 PM, Windsor Gardens' director of nursing told inspectors she was completely unaware of Resident #1's skin concerns....
The scene at Stonebridge Adams Street revealed a pattern of neglected oxygen equipment maintenance that put vulnerable residents at risk of infection....
State inspectors found the deteriorating conditions during a complaint investigation at The Pearl Nursing Center of Rochester on August 22....
The resident, identified as R2 in inspection documents, has both legs amputated below the knee and uses prosthetics....
The record covered August 3 through August 20, but showed no documentation for doses that should have been given on August 21 at 9 am and 1 pm....
Not a single phone rang audibly at its destination....
But the strip showed the dishwasher wasn't reaching the 180-degree temperature required to kill bacteria and prevent cross contamination....
Resident 1 told staff on April 28 that Resident 2 had touched her inappropriately....
The confrontation occurred on August 13 during evening medication rounds at Mineral Point Health Services....
The MDS coordinator, who discovered the problem during her review of Resident #1's case, told inspectors during a 4:40 pm interview that accuracy was critical....
The confrontation at Creekside Health and Rehabilitation Center occurred while federal inspectors were investigating a complaint about dignity violations....