Not just during the day shift, when administrators are present and the building is fully staffed.
Nursing Home News — Page 127
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Pressure ulcers, sometimes called bedsores, are among the most preventable injuries in long-term care.
The citation was classified as an isolated deficiency with no actual harm documented.
The deficiency, cited under a category reserved for resident rights violations, was one of 13 deficiencies inspectors recorded during the same inspection.
The deficiency was classified as a pattern, meaning it wasn't an isolated lapse tied to a single resident or a single moment.
The citation, issued August 21, fell under the pharmacy services category.
The violation, cited under federal tag F0640, sits in the category of resident assessment and care planning deficiencies.
That sequence exists for a reason.
The August 21 inspection resulted in a citation under a regulatory category covering quality of life and care.
Inspectors classified it as isolated, meaning they believed it affected a limited number of residents rather than representing a facility-wide breakdown.
Dialysis is not a treatment that tolerates mistakes.
The policy requiring their removal had been sitting in the facility's files since 2016.