Nursing Home News — Page 204

On top of the cart sat a clear plastic drinking cup.

One wasn't getting the showers her care plan required.

Heritage Specialty Care, a 118-resident facility, was inspected between August 18 and August 26, 2025, following a complaint.

No report filed by the facility itself.

The diagnosis didn't appear on the facility's diagnosis list.

The inspectors who found it described the consistency as resembling salad dressing.

The facility opened an investigation.

The inspection, completed August 27, 2025, found that nurses had administered oral medications to residents with NPO status, meaning nothing by mouth.

The resident, identified in inspection records only as R5, was found by a nurse in a prone position on the floor with an injury to the left side of his head.

Nobody stopped it until a third resident walked into the room and started shouting.

That nurse, identified in inspection records as RN #300, was the facility's sole MDS nurse.

The whole process took about two and a half hours.