Nursing Home News — Page 207

Not a technical lapse that might have caused harm under different circumstances.

Signage on both room doors announced the precautions clearly.

That was what federal inspectors found on August 28, 2025, when they walked into a shared room at the facility on a complaint inspection.

That CNA had been terminated from the facility on August 5, 2025.

Thirty-eight citations from a single inspection visit is a significant number.

Inspectors classified it at scope and severity level D, meaning the problem was isolated and did not result in documented harm to any resident.

Inspectors cited the facility for failing to ensure that food was prepared in a form designed to meet each resident's individual needs.

The director of nursing acknowledged the gap directly: it was her responsibility to make sure those summaries got done.

That's what federal inspectors documented during a complaint inspection completed September 2, 2025.

The activities director said in an interview with inspectors that staff had not updated him on the resident's condition before the outing.

Inside was a single bottle of lorazepam, a controlled sedative, labeled with a resident's name and an opened date of December 1, 2024.

Staff C, the receptionist, told the investigator that the facility had been without a Director of Nursing as of the previous week.