Multiple cigarette butts lay in brown, brittle grass around the facility sign, along the driveway fence, and under a facility window.
Nursing Home News — Page 286
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The failures at Olympic View Post Acute put Resident 127 at risk during treatment for pneumonia and sepsis, a potentially fatal blood infection.
Despite this total dependence on staff, inspectors found the person's fingernails had grown about three-quarters of an inch beyond their fingertips.
The resident weighed 77.4 pounds and could walk independently without assistance.
The facility's own assessment documents promised annual wound care training and specialized care competencies for staff.
When the physical therapist pressed the call light that morning to get the resident cleaned up for her session, nobody came.
The incident at Decatur Health & Rehab Center triggered immediate jeopardy violations that lasted nearly a month, from January 4 through February 1, 2025.
The problems emerged during a resident council meeting on April 22, when multiple residents complained about conditions during night shifts.
Staff F was hired at Royal Park Health and Rehabilitation Center on November 3, 2022.
Both residents had severe cognitive impairment.
Each time, Resident 66 sat in a wheelchair while the urinary catheter bag remained in contact with contaminated surfaces.
Resident 188 entered the facility on December 6, 2024, weighing 119 pounds.