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Garland Road Nursing: Insulin Documentation Failures - OK
Resident #5 received sliding scale insulin through Humalog kwikpen injections....
Latest reports, citations, and penalties from CMS data
Resident #5 received sliding scale insulin through Humalog kwikpen injections....
The person required substantial to maximal assistance with toileting and was always incontinent of both bowel and bladder....
The citation means inspectors found conditions that posed an immediate threat to resident health or safety....
Resident 107 arrived at the facility on Thursday, August 14....
But when inspectors observed meals on August 18, 19, and 20, they found Resident 15 eating alone with another resident in the activity room....
The woman, identified as R2 in state inspection records, had a fall risk score of 19 on a scale where anything above 10 indicates high risk....
The resident, identified only as Resident 1, needed nine teeth extracted and new dentures made....
The incident occurred on August 14 when Resident 6's family member found the person lying on a draw sheet stained and saturated with urine....
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....