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Nuuanu Hale: Stage 4 Pressure Injury Neglect - HI
She said staff only repositioned her when she specifically asked, and if she didn't ask, they provided no help....
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She said staff only repositioned her when she specifically asked, and if she didn't ask, they provided no help....
The problems extended beyond medication oversight....
Resident #1 arrived at Aviata at Saint Lucie on July 23 with end-stage renal disease, chronic kidney disease, congestive heart failure, and diabetes....
The catheter required precise monitoring, including measuring its external length with every dressing change to ensure it hadn't migrated or become dislodged....
The violations affected at least three diabetic residents who required daily insulin injections to manage their blood sugar levels....
Enhanced barrier precautions involve wearing gowns and gloves during high-contact care activities for residents with medical devices like feeding tubes....
Five call lights sounded across three halls....
The Black resident told inspectors his roommate called him the n-word almost every day, including at 4 AM when he asked him to turn down music....
Resident 209 was admitted with a diagnosis of obstructive sleep apnea, a condition where breathing repeatedly stops during sleep due to blocked airways....
The violations extended beyond the kitchen....
The nurse gave scheduled 9 a.m....
The flies remained the next day....
There was no strap attached, despite the care plan requiring one for safety....
R9 had been moved out of her original room the previous week due to a bed bug infestation....
The wound was facility-acquired and had been present for one to three months, according to the evaluation....
The March 9 incident at McCormick Post Acute involved two residents with severe cognitive impairment....
Resident 40 fell from his wheelchair at 10:40 p.m....
The roommate, Resident #26, told inspectors the precaution sign was meant for Resident #40 because of wounds on that resident's legs....
The broken equipment displayed "Error" scrolling continuously across its electronic screen....
She requires a suprapubic catheter due to urinary retention and is always incontinent of bowel and bladder....