This face-to-face requirement replaced what appeared to be an ineffective or non-existent previous system.
Nursing Home News — Page 1201
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When injections are repeatedly administered to the same site, scar tissue develops beneath the skin, creating a condition called lipodystrophy.
A certified nursing assistant (CNA) working evening shifts described conditions of mental and physical exhaustion due to inadequate staffing levels.
The second incident proved even more concerning.
However, nursing staff documented a scabbed area on the heel during skin checks on December 5, 2024, and January 25, 2025.
The resident regained consciousness after the compressions but immediately began experiencing significant chest pain.
The resident's dietary admission assessments documented the progressive weight loss across multiple weeks.
The facility also documented inaccurate assessment records following the incident, potentially compromising future care decisions.
According to nursing notes from December 25, 2024, staff observed the resident "curse and holler at her roommate" during a disagreement.
On February 4, 2025, the facility's administrator received a report that CNA #1 had been physically rough with a resident during a transfer attempt.
The incident involved two residents with significant mental health diagnoses.
during a March 2025 inspection, raising concerns about the facility's ability to maintain accurate records and ensure resident safety.