Nursing Home News — Page 11

The resident at Tweeten Lutheran Health Care Center had moderate cognitive impairment, wandered daily, and wore an elopement alarm.

Emergency Medical Services picked up Resident R223 at approximately 10:13 p.m.

The violation was tagged under F0689, the federal standard governing protection from accident hazards and supervision.

The inspection, completed November 26, 2025, was triggered by a complaint.

The tub contained piles of dirty clothing.

A progress note from September 19, 2025, recorded that R1 was on a civil commitment.

The facility's own Director of Nursing described what those missed checks could mean.

The facility's posted staffing information listed an RN working the day shift for eight hours.

He had fallen at least once before his admission.

When inspectors arrived on November 24, 2025, they found the entire 100-hall had been without hot water since before summer.

The answer at Bernard Care Center, a 126-bed facility on West Pine Boulevard, was not much.

That gap matters because catheter care, done wrong, is one of the more direct routes to infection for nursing home residents.