The patient, identified as Resident 35, dropped from 163 pounds in July 2024 to 129.4 pounds by February 2025.
Nursing Home News — Page 297
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Her boyfriend had been with her for several years before the brain injury that left her severely cognitively impaired.
The incident at Avantara Norton occurred on May 27 when the aide woke the resident at 7:10 a.m.
The February inspection revealed a cascade of medication safety failures affecting multiple residents at the 13000 Victory Boulevard facility.
Both residents had cognitive scores so low they indicated severe impairment.
The resident had been taking 625 milligrams of the drug three times daily since January 2023.
Immediate jeopardy citations are reserved for the most dangerous situations in nursing homes.
The March inspection revealed the facility's reliance on outdated procedures for handling one of the most serious safety concerns in nursing home care.
The March 25 attack was the third violent incident involving Resident #3 in four months.
The facility's Program Director learned of the alleged assault on April 8 — when inspectors informed her during their visit.
When the assistant tested the call button herself, nothing happened.
Federal inspectors reviewing personnel records in March found systematic training failures affecting more than half of sampled staff members.