Staff left IV catheters in residents for weeks after treatment ended, administered medications incorrectly, and failed to provide proper denture care.
Nursing Home News — Page 294
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State inspectors found the facility failed to complete accurate mental health screenings for three of five residents reviewed during a March inspection.
The violations put all 21 residents on the unit at potential risk for infection transmission.
Federal inspectors discovered the unauthorized restraint use during a June inspection of the facility on Rowena Avenue.
The facility's own policy required licensed nurses to chart the drug, time administered and their initials with each medication administration.
North Ridge Health and Rehab never conducted a trauma assessment for the 81-year-old woman who had been living at the facility since 2015.
The nurse administered the resident's 9 AM blood pressure medication at 12:19 PM, more than three hours late.
Resident #105 called Resident #141 the "N-word" and said he didn't want to hear "N***** music" on January 7, sending the victim to tears.
On July 31, 2024, inspectors observed the resident lying in bed without her prescribed hand splint.
His care plan required one to two person assistance during transfers and bed mobility.
Resident 301 arrived at the facility in December 2024 with a medical history that included type 2 diabetes, hemiplegia, and Alzheimer's disease.
Resident 51 suffered the most dramatic consequences.