Nursing Home News — Page 242

Resident C is cognitively intact.

Her wheelchair had no foot pedals.

Nobody had written an order for the bracelet.

It means inspectors concluded that what happened had already caused, or was likely to cause, serious injury or death.

The Director of Nursing confirmed to inspectors that the facility knew the medication was ordered and simply didn't have it in stock.

The resident, identified in inspection records only as Resident B, was in the late stages of Alzheimer's disease.

The incident happened on October 2, 2025.

The resident on the floor was identified in the report as R1.

The administrator, identified in the inspection report as V1, did not dispute what had happened.

When a surveyor interviewed CNA #2 on October 23, she described how the system is supposed to work.

The resident, identified in inspection records only as Resident L, had passed black tarry stool the evening of September 24, 2025.

The complaint inspection, completed October 24, 2025, centered on a single category of failure: training.