Nursing Home News — Page 296

The scope was characterized as isolated, meaning inspectors did not find the problem affecting residents throughout the facility.

No actual harm to a resident was documented.

It had happened more than once, across more than one resident or situation.

When a federal inspector walked through the kitchen at Carrie Elligson Gietner Health Care Center on the morning of September 22, 2025, she found it in layers.

It was one of 27 separate deficiencies inspectors found at the facility during the same visit.

He had an order on file for lorazepam, the brand-name drug Ativan, to be used once for agitation or combative behavior.

No resident was documented as having been harmed by the time inspectors completed their review.

The urologist had made a specific recommendation: the resident needed to be seen right away.

Inspectors determined there was no actual harm documented, but concluded the failure carried potential for more than minimal harm.

It was one of 23 deficiencies documented during a single inspection of the Fairview nursing home.

That was one item on a longer list.

The violation fell under a category inspectors use specifically for nursing and physician services deficiencies.