Nursing Home News — Page 220

That was the finding inspectors documented during a September 11 complaint inspection at the 500 North Dawson Street facility.

The resident, identified only as R1, recalled that the day began with pain that was different from what they had experienced before.

Inspectors visiting Powder River Manor found the wall-mounted holder empty on the afternoon of September 8, 2025, at 1:18 p.m.

A do-not-resuscitate order, or DNR, is among the most personal decisions a person or their family can make.

All of it was in rooms where vulnerable residents lived.

The violation, tagged F0656, was cited at a level of minimal harm or potential for actual harm, and affected some residents.

The facility's census hit 61 on September 4, 5, and 6 of 2025.

The finding came nearly a year after the vacancy began.

The wound went unrecorded on the resident's initial skin assessment, completed the day she was admitted on August 25, 2025.

She did not write a single word in the resident's chart.

The elopement itself is what triggered the inspection.

The incident happened on July 6, 2025.