Nursing Home News — Page 1178

The investigation focused on three specific cases where residents experienced uncontrolled pain due to medication administration failures.

During the March 11-13 inspection period, surveyors documented persistent contamination despite multiple visits.

These protocols require staff to wear gowns and gloves during high-contact care activities including wound treatment, bathing, and device care.

For diabetic residents, this pattern of errors creates significant health risks.

The situation became critical when the resident's condition deteriorated dramatically.

Despite multiple medical evaluations confirming her inability to make healthcare decisions, the facility failed to implement appropriate protective measures.

The first incident occurred in August 2020 when a resident with an above-knee amputation was being transported in a wheelchair without proper foot support.

Federal regulations require nursing homes to maintain active QAPI programs that systematically identify, analyze, and correct deficient care practices.

Multiple staff members, including three nurses and two nursing aides, responded to the scene.

This oversight represents a fundamental breakdown in care coordination.

R5 immediately stopped the interaction, saying "No, no.

## Inspection Reveals Documentation Gaps The August 13, 2024 inspection was conducted in response to a complaint filed against the nursing facility.