Nursing Home News — Page 1154

Within days of admission, staff documented that the resident had an unsteady gait, poor balance, and was at risk for falls.

The equipment remained improperly stored despite not being in active use.

The Director of Nursing acknowledged during the inspection that staffing shortages were visible on the schedule and represented an ongoing challenge.

The inspection revealed deficiencies first documented in November 2018, with subsequent citations in November 2019, October 2022, and January 2024.

On July 8, 2024, at 3:07 p.m., surveyors observed the memory care dining room carpet littered with food debris.

The inspection focused on medication security procedures required under federal regulations.

Additionally, the oxygen flow was set at 3 liters—50 percent higher than the prescribed dose.

The incident occurred as staff members were transferring the resident back to her bedroom to provide care.

A second resident with a history of heart disease, ischemic cardiomyopathy, and previous myocardial infarction received only partial pneumococcal vaccination.

One resident reported lying in a urine-soaked brief for hours while waiting for staff assistance.

One resident recovering from COVID-19 in isolation received breakfast in a foam tray containing fried eggs, toast, and cream of wheat.

This designation indicates that while no actual harm may have occurred, inspectors documented conditions or practices that posed genuine risk.