Inspectors found the facility's administrator and director of nursing failed to effectively manage compliance with federal quality of care requirements.
Nursing Home News — Page 295
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The most dangerous temperature — 126 degrees Fahrenheit — was recorded in a resident room sink and the shower room serving Wing 1's 20 residents.
During an August 7 interview with federal inspectors, the nurse explained his reasoning.
Federal inspectors found the facility failed to protect her from physical abuse by staff.
The cuffs were never cleaned between uses.
For residents with substance use disorders, this means creating specific interventions and monitoring protocols regardless of current sobriety status.
The cotton ball placed on top of the gauze was soaked with blood.
Staff R retrieved a tray from the kitchen containing a plate warmer with steam rising from under the lid.
Resident 3 weighed 252 pounds and had paraplegia, morbid obesity, and cognitive deficits when the fatal fall occurred around 9:30 p.m.
Two residents with severe cognitive impairment lived in rooms where water measured 123 degrees, well above the state's maximum of 115 degrees.
CNA 15 described working by himself on a nursing unit one Sunday with 14 assigned residents.
The patient required assistance with personal care and was dependent on staff for toileting hygiene, bathing, lower body dressing, and putting on footwear.