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Bedrock HCS at Greendale: Pressure Injury Neglect WI
This omission proved critical, as the resident's condition deteriorated during her stay....
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This omission proved critical, as the resident's condition deteriorated during her stay....
The facility neglected to create goals and interventions specifically designed to mitigate potential accidents, hazards, and the risk of drug overdose....
EDGERTON, WI - A comprehensive state inspection at Edgerton Care Center, Inc....
Three residents were identified as requiring enhanced precautions but receiving inadequate protection....
## Medical Risks of Unmonitored Psychiatric Drugs Antipsychotic medications carry serious health risks that require constant vigilance....
Gastrointestinal bleeding represents a medical emergency that can rapidly become life-threatening without proper intervention....
These precautions were implemented due to the resident's feeding tube and chronic wound condition, both of which create elevated infection risks....
The consequences of delayed physician notification can be severe....
On February 19, 2025, a nurse documented finding the resident's left leg "very red" with pitting edema and multiple blisters, one of which was open....
This can result in unnecessary deterioration of physical condition, increased risk of complications, and reduced quality of life....
These deficiencies left residents without proper protocols for managing serious medical conditions....
This designation indicates conditions that pose an immediate threat to resident health and safety....
Hand hygiene between patient contacts is considered the single most important practice for preventing healthcare-associated infections....
The incident occurred around 11:00 AM when the CNA brought a tray of mixed snacks to the memory care dayroom....
When facilities repeatedly fail to meet these standards, it indicates potential systemic problems in their oversight and improvement processes....
This represents a critical breakdown in the facility's quality oversight system, which is designed to continuously monitor and improve patient care....
According to the inspection report, one resident did not receive scheduled showers as outlined in their individualized care plan....
The Director of Nursing confirmed that CNAs are responsible for serving food while dietary staff handle meal preparation and matching to dietary cards....
Despite the facility's own policy requiring enhanced barrier precautions for residents with wounds, staff failed to implement these critical safety measures....
The regulatory framework requires nursing homes to establish and maintain comprehensive policies, procedures, and oversight mechanisms....