Only after dressing the resident did she remove the contaminated gloves and perform hand hygiene.
Nursing Home News — Page 298
All Stories
The resident, identified as R160, scored one out of 15 on a mental status exam, indicating severe cognitive impairment from dementia and Alzheimer's disease.
The scene at Elroy Health Services in February revealed a breakdown in infection control that state inspectors found affected all 68 residents.
The resident sustained redness to her cheek from a March 20 fall and facial discoloration, eye swelling, and hand injuries from an April 9 fall.
The privacy violation was one of two serious lapses documented during the complaint investigation at the 1516 Sawtelle Boulevard facility.
Federal inspectors found multiple medication safety violations during their April 24 visit to the facility on North Assembly Street.
The resident was alert, oriented, and had intact cognition according to medical assessments.
Resident 316 was admitted with fractured vertebrae and muscle weakness.
"While the resident was being lowered down, NA B let go of the wheelchair to straighten Resident #1," CNA A told inspectors.
Sometimes meals contained almost nothing.
Federal inspectors found the facility's quality assurance program failed to prevent the error or implement effective corrections afterward.
The resident, identified as B3 in inspection records, experienced nausea and vomiting after taking the wrong drug.