Nursing Home News — Page 238

Nobody completed the initial assessment.

A certified nursing assistant lifted her manually.

No interview of the roommate, who was in the same room when the resident fell on February 23, 2025.

When he held up his left hand, his middle fingertip was barely attached.

Inspectors noted that actual harm had occurred, and that an investigation and outbreak line listing report would need to be completed.

The LPN observed the resident seizing, with blood coming from the back of her head and breathing that sounded like a snore.

A hospice provider was involved in the resident's care.

What they found, step by step, was a path from a memory care unit to a four-lane road, with almost nothing standing in the way.

She needed two staff members just to get dressed or repositioned.

What happened next is disputed.

The resident, identified in the report as R2, was a high fall risk who required a one-person assist with a gait belt to move around.

Haloperidol is among the more potent antipsychotic drugs used in long-term care.