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Wheatcrest Hills: Bed Rail Safety Violations - SD
Federal regulations require facilities to exhaust alternative approaches before resorting to bed rail use....
Latest reports, citations, and penalties from CMS data
Federal regulations require facilities to exhaust alternative approaches before resorting to bed rail use....
This reporting obligation exists to ensure that specialized care teams can reassess treatment plans and adjust services accordingly....
Older adults are especially vulnerable to adverse drug effects due to age-related changes in how the body processes medications....
Inspectors assigned the violation a **Scope/Severity Level E**, indicating a **pattern of deficiency** rather than an isolated incident....
The facility has not submitted a plan of correction for the pharmacy-related violation....
The administrator was also there....
The resident, identified in inspection records only as RI #137, was the direct target....
The resident had developed edema, gained weight, and was experiencing shortness of breath....
Resident 126 arrived from the hospital needing oxygen but Unit Manager 2, who handled the admission, failed to enter physician orders for the respiratory care....
When inspectors watched Licensed Practical Nurse D perform the treatment on November 24, the nurse ignored multiple steps in the doctor's detailed orders....
The deficiency was classified at **Scope/Severity Level E**, indicating a pattern of noncompliance rather than an isolated incident....
The facility's own Director of Nursing confirmed what inspectors found....
The facility has not submitted a correction plan....
Accurate resident assessments form the backbone of nursing home care....
The resident at Life Care Center of Cheyenne had undergone major surgeries before admission, including placement of nephrostomy tubes and a colostomy....
The facility has since reported implementing corrections....
While the Level D classification represents the lower end of the federal severity scale, pressure ulcer deficiencies carry significant clinical weight....
That admission triggered an immediate jeopardy finding, the most serious designation federal inspectors can assign, affecting many residents....
The incident occurred on June 3, according to a facility incident report reviewed by state inspectors....
Specifically, inspectors found that the facility failed to ensure medications were labeled according to currently accepted professional principles....