Nursing Home News — Page 1124

## Critical Monitoring Gaps Discovered During a March 2025 inspection, surveyors identified multiple failures in the facility's skin care program.

In response, facility leadership submitted a Plan of Correction (PoC) on February 14, 2025, promising comprehensive reforms to address these critical issues.

The facility failed to complete a bed hold arrangement, which would have preserved the resident's place at the nursing home during the hospital stay.

Hospital records showed the patient had been prescribed Seroquel, a powerful antipsychotic medication, to be taken at 50 milligrams once daily at bedtime.

This regulation serves as a cornerstone of patient safety in long-term care settings.

Medical records show the resident missed one feeding on January 22, three on January 23, two on January 24, and one on January 25.

The violation affected a small number of residents at the 99-bed skilled nursing facility.

The resident lost 9 pounds in January alone, representing a 7.6% weight loss, followed by an additional 15 pounds the following month.

Multiple residents reported waiting 20 to 30 minutes for assistance, with some calls going completely unanswered.

The resident explained that her hands were numb due to neuropathy, making her unable to remove the hearing aids independently.

These lab values indicated the resident faced immediate medical risks.

The clothes were described as "stiff" and "rigid" with a musty odor that made them difficult to handle.