Nursing Home News — Page 1161

The violations revealed a concerning pattern where serious resident concerns were either inadequately investigated or dismissed without proper follow-up.

**Five residents collectively missed 18 scheduled showers** during this timeframe, with some residents going without proper bathing for extended periods.

However, interviews with nursing staff revealed that many were unaware of the unauthorized medications.

The violation highlights broader concerns about the facility's training oversight systems and their potential impact on resident care quality.

Licensed Practical Nurse #10, who was caring for the resident during the day shift, contacted the facility's nurse practitioner about the elevated heart rate.

However, the facility didn't request these records until August 2024 - six months later.

However, when questioned about qualifications, the DON admitted she lacked certification in infection control, as did the ADON.

The gap occurred because the facility had run out of the resident's ordered medication but failed to notify the prescribing provider about the shortage.

During a February 24 test tray evaluation, inspectors found that hot foods were being served well below safe temperatures.

Resident 1, who has dementia and major depressive disorder with psychotic symptoms, was creating disturbances that prevented her roommates from sleeping.

Many residents have weakened immune systems due to age, chronic conditions, or recent hospitalizations.

However, the subsequent response by licensed nursing staff failed to meet federal standards for basic life support provision.