Nursing Home News — Page 1155

The facility incorporated this intervention into the resident's care plan for preventing skin breakdown, acknowledging the importance of this measure.

The patch was intended for the resident's roommate.

The oral antibiotic metronidazole was also missed on multiple occasions during the resident's stay.

An immediate jeopardy designation indicates conditions exist that could cause serious injury, harm, impairment, or death to residents at any time.

The resident's medical record revealed a pattern of escalating weight gain - a critical warning sign in heart failure patients.

According to a staff witness statement, R1 was seated next to R2 in the dining room when staff observed him inappropriately touching R2's breast and buttocks.

The inspection revealed gaps in the facility's assessment process for restraint use.

The inspection revealed that only two residents in the facility were receiving fentanyl patches at the time of the survey.

The resident was treated with antibiotics on January 2-9, January 22-27, February 8-19, February 13-21, April 29-May 6, and May 21-28.

These failures affected several cognitively impaired residents who depended on staff protection and proper administrative oversight.

Despite this significant deficit, the facility's initial Elopement Risk Tool assessment rated R1 at zero out of nine points for elopement risk.

Despite this documented incapacity, the facility had no valid informed consent on file for the haloperidol that had been prescribed since March 2024.