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Grande Oaks: Weight Monitoring Failures - OH
Both residents required ventilators to breathe and had intact mental capacity to understand their care....
Latest reports, citations, and penalties from CMS data
Both residents required ventilators to breathe and had intact mental capacity to understand their care....
The nurse kept the pain medication on the resident's bedside table and assumed the woman could handle the treatment alone....
The moves affected residents with serious medical conditions including dementia, Parkinson's disease, and chronic kidney disease....
She had no walker or wheelchair with her....
The wall breach in Resident 14's room sat about 12 inches above the floor, directly behind the head of her bed....
The October 25 video from Grande Oaks shows Resident #19 eating lunch without her nasal cannula after RT #296 removed her AVAP mask....
Resident #50 required continuous mechanical ventilation through a tracheostomy....
Resident 19 at Grande Oaks receives a minced and moist diet with thin liquids and requires staff assistance to set up meals....
Those orders were discontinued on October 7 when R1 returned to the facility from a hospital stay....
The resident felt the exercise was too aggressive and started pushing back....
The therapist later confirmed the objects were maggots....
The nurse, identified as RNS 3, found the maggots during routine care and immediately contacted the resident's physician....
The inspection, completed October 29, documented violations of federal food service standards....
CNA A discovered Resident #1 on the floor around 8:00 pm but failed to follow incident reporting procedures....
Federal inspectors found Mission Valley Nursing and Transitional Care failed to promptly update Resident #3's care plan after he signed DNR paperwork....
Federal inspectors found the facility failed to complete the required care plan for Resident #2 within 21 days of her October 6 admission....
"It took her a while to find them," inspectors wrote about the director's search through medical records....
Resident #4, who admitted to the facility on October 13, should have received his full assessment by October 27 under federal regulations....
Nurses immediately tried to contact the on-call doctor....
Resident #2 had been admitted with a history of fractures in her left hip and right leg, along with recent surgical wounds on both knees....