Timberwood Nursing: Improper Discharge Violations - TX
The Assistant Director of Nursing called the resident's wife and told her to pick up her husband immediately....
Latest reports, citations, and penalties from CMS data
The Assistant Director of Nursing called the resident's wife and told her to pick up her husband immediately....
Federal inspectors who visited the facility in November found the resident's complaint was accurate....
But even with her own supplies, she said she couldn't remove the dirt....
Both residents had dementia and required physical help with bathing....
Resident #9 had been living at the 39-bed facility since his admission earlier this year....
The September 3 incident between the female resident and a male resident left her with a small cut on her lip....
Instead, nurses working from an incomplete fax never entered the medication into the system....
The breakdown began on May 25, when Resident #149's prescribed hypnotic medication was not available in the facility's automated dispensing system....
She told inspectors during a November 18 interview that she realized the error after the wrong medication had been infusing for less than five minutes....
The DON told inspectors that physician orders are reviewed during morning stand-up meetings....
The resident told inspectors on September 29, 2025 that staff had been withholding her medication because her blood pressure was low....
Resident #2 had consistently low blood pressure readings that required careful monitoring....
Then comparing those requirements against the actual food delivered....
Staff were supposed to ensure these dietary requirements were met to prevent weight loss....
Enhanced barrier precautions are implemented for residents at higher risk of infection transmission....
Federal inspectors observed the violation during a complaint investigation at the 58-bed facility....
Residents had been raising concerns for months....
Resident #20 had been living at Continuing Healthcare of Cuyahoga Falls since October 2021 with multiple diagnoses including dementia, dysphagia, and anxiety....
The violation was classified as immediate jeopardy to resident health or safety, the most serious category of nursing home deficiency....
The administrator told investigators his expectations were not met with the nurses' conduct....