The nursing assistant nudged the resident.
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"I told [LPN A's name] he wasn't breathing," CNA B wrote in a statement.
On December 3, 2024, nurses documented that R36 was confused with no verbal response to questioning.
The most serious incident involved Resident 79, who has PTSD and major depressive disorder from past sexual abuse.
She never changed her gloves or performed hand hygiene between tasks.
On August 27, inspectors observed one housekeeper cleaning a resident's room and bathroom.
The citation means inspectors determined the facility's failures had caused or were likely to cause serious injury, harm, or death to residents.
He continued the treatment by applying calcium alginate, medical honey, and covering the wound.
The resident asked staff for help opening a food container while confined by the rails.
The April 3 complaint inspection revealed systemic breakdowns in the facility's response to sexual misconduct incidents.
The resident, admitted in August 2024 with blood clots and morbid obesity, told staff that two cord holders had disappeared from their room.
The resident, identified as CR1 in inspection records, was supposed to receive 30 units of insulin glargine twice daily to control diabetes.