Nursing Home News — Page 1141

The CNA reported that between 2:00 PM and 4:00 PM, and again after supper, the facility frequently operated with just two aides for the entire main area.

For a resident with documented seizure disorder and HIV disease, missing anti-seizure medication creates compounded risks.

When nursing homes operate without sufficient staff, residents face immediate risks.

The CNA interpreted the gurgling sounds as the resident "tasting his food" and continued feeding despite these warning signs.

Federal regulations require nursing facilities to immediately report all allegations of abuse to the administrator and state agency.

The Clinical Manager admitted to inspectors that the facility "forgot to act upon" the pharmacist's recommendation to review the medication's appropriateness.

When the resident expressed her preference not to receive assistance from male staff, the CNA failed to notify anyone else about the resident's care needs.

Despite this clear indicator, nursing staff failed to develop the required care plan for fall prevention.

Despite the seriousness of this physical assault, investigators found the facility's response fell far short of regulatory requirements.

At 1:20 AM, a certified nursing assistant discovered the resident sitting on the floor near their bed, having fallen while attempting to get up unassisted.

Over the next 30 minutes, staff separated the residents repeatedly.

Pre-popping medications makes verification of these critical safety checks impossible.