Bettendorf Health Care: Incontinence Care Failures - IA
She said staff typically changed her at least twice per shift....
Latest reports, citations, and penalties from CMS data
She said staff typically changed her at least twice per shift....
The resident's weight dropped from 192.4 pounds in June to 171.6 pounds by August....
The physician had ordered the 10 milligram opioid only when Resident 111's pain reached a level of 7 to 10 on the standard pain scale....
On June 28, the resident's morning blood pressure measured 96 â well below the safety threshold....
The system's failure created potential escape routes for residents with dementia or other conditions requiring supervised care....
For three days, nursing staff administered nothing....
The resident had been waiting since lunchtime when staff started making the bed but never returned to complete it....
The resident told staff that an aide had grabbed her roughly during a transfer the night before....
CNA 2 immediately reported the finding to LVN 2, who went to assess the resident....
The resident, identified as R101 in state inspection records, had sustained trauma that led to necrotizing fasciitis of the left arm and leg....
The violations affected at least three residents and involved both staff-to-resident abuse and theft allegations....
During breakfast on September 8, LPN #1 fed two unidentified dependent residents by alternating bites between them....
The resident told inspectors the hair-pulling "did not hurt" but "made her angry towards Family Member #1." Resident #50 told the family member to leave....
The wound vacuum wasn't delivered and placed until July 29....
When that delivery failed, staff waited weeks before attempting to resend the information....
The incident occurred at 11:22 a.m....
The breakdown occurred on September 3rd when Nurse Practitioner #492 assessed the resident for complaints of coughing that had persisted for several days....
Resident #1 was last seen at 9:30 p.m....
Inspectors noted bruises and scabs on both his arms and legs....
The complaint at Oxford Nursing Home came just weeks after another resident made similar allegations of being physically pushed by staff....