Inspectors found the facility lacked proper systems for recording incidents of infections identified through surveillance activities.
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The resident also required monitoring for potential brain bleeding.
This citation indicates that inspectors identified concerns related to the facility's obligations to protect residents from mistreatment.
The driver then moved the injured resident without medical assessment and did not report the incident to facility staff.
At 7:15 a.m., inspectors tested the dishwasher and recorded a final rinse temperature of just **137 degrees Fahrenheit**.
According to facility records, the resident "was escorted from the facility accompanied by law enforcement" at approximately 3:50 p.m.
Her medical history included Stage 5 Chronic Kidney Disease and dementia.
The surveyor observed Certified Nursing Assistant (CNA) 8 wheeling Resident 47 away from the Northwest area of the facility.
The citation under **F610** addresses requirements for facilities to investigate and report allegations of abuse, neglect, and exploitation.
Similarly, the anti-anxiety medication lorazepam (Ativan) was documented as removed from stock on January 24 at 3 a.m.
Immediate jeopardy is the highest severity level that federal surveyors can assign to a nursing home deficiency.
These concerns were echoed at a family meeting held the previous day, where relatives questioned facility leadership about reduced staffing levels.