Nursing Home News — Page 115

The citation, issued August 21, falls under a category that covers pharmacy service failures.

A pattern means inspectors didn't find an isolated slip.

Inspectors classified the violation as isolated, with no documented actual harm to any resident, but with the potential for more than minimal harm.

The deficiency was cited under the federal standard requiring facilities to treat residents with dignity, respect, and kindness.

Inspectors rated the violation as causing minimal harm or the potential for actual harm, and identified it as affecting a small number of residents.

The inspection, completed August 20, 2025, was a complaint survey.

Inspectors classified the staffing finding under a category reserved for nursing and physician services deficiencies.

The resident had developed an unstageable pressure ulcer on the right gluteus, measuring 2.6 centimeters by 2.0 centimeters.

Inspectors determined the facility was out of compliance.

Inspectors classified it as an isolated deficiency with no actual harm documented but with potential for more than minimal harm.

The deficiency was tagged under pharmacy service requirements and classified as a pattern, meaning it wasn't an isolated slip.

The discrepancies stretched across at least four residents and nearly six weeks.