Nursing Home News — Page 1015

Medical records showed the resident's weight began declining sharply in April, with an 8-pound loss in just one month between April and May.

The April 5 incident was particularly serious - an unwitnessed fall that resulted in a head laceration and emergency room evaluation.

The violations center on the facility's inability to follow through on promises made after a previous citation in June 2024.

When the staff member called out to Resident 2 and asked what they were doing, the perpetrator stopped and walked back to their own bed.

The Nurse Manager did follow proper hand hygiene protocols between steps but failed to don the required gown before beginning the procedure.

Similarly, Resident #42 displayed symptoms starting April 26, progressing to a "congested cough and hoarse voice" by April 29.

This fundamental breach of medication management protocols creates significant health risks.

The violations affected up to 43 residents who regularly ate in the facility's dining areas.

The kitchen failed to maintain basic food labeling and dating protocols, with multiple items stored without proper identification or expiration dates.

According to the inspection findings, the resident's speech therapist had evaluated her multiple times between admission and discharge from therapy services.

The fall resulted in immediate transport to the emergency room for treatment of injuries sustained in the accident.

## Two-Hour Search Ends with Resident Found in Dangerous Location The facility initiated a "Dr.