Nursing Home News — Page 1136

The violations affected three of five residents reviewed during the investigation, identified as Residents #1, #206, and #9.

One resident lost 14.29% of their body weight over six months and 7.9% in approximately three months, meeting the criteria for significant weight loss.

## Medical Significance of Insulin Dating Requirements Insulin dating serves critical safety functions in healthcare settings.

According to the facility's physician, this oxygen level should have triggered an immediate transfer to the emergency room.

The documented violations stem from repeated quality of care deficiencies that were previously identified during surveys ending June 4, 2024 and July 22, 2024.

The facility's own care plan, initiated on September 17, 2024, identified the resident's "behavior wandering into other resident's room" as a focus area.

The failure occurred when both the ignition control module and gas valve malfunctioned, requiring replacement parts that were not immediately available.

The incident occurred despite a hand washing sink being available at the nursing station.

The aide later confirmed she understood the resident required Enhanced Barrier Precautions but failed to follow the protocol.

The error occurred consistently from March through June 2024, with documentation showing incorrect application on multiple dates.

When blood sugar remains elevated for extended periods, patients face risks including severe dehydration, electrolyte imbalances, and organ damage.

During the inspection, surveyors observed flies directly landing on residents.