Nursing Home News — Page 299

LPN #1 administered pantoprazole to Resident #8 on the morning of August 7, six days after the medication had expired.

None of those services were provided.

The resident, who suffered from palliative care conditions including brain hemorrhage and paralysis on one side of his body, left the facility at 6:35 a.m.

Licensed Vocational Nurse A discovered the dangerously low blood pressure at 10:23 a.m.

Kitchen staff couldn't explain basic dishwashing procedures.

When she acted out or withdrew, she said, staff thought she was being difficult for no reason.

The violations put residents at risk of dangerously low blood pressure that could lead to falls, fainting, or worse complications.

The facility's own tracking document showed 31 falls in January alone, followed by 11 more falls in the first 12 days of February.

Federal inspectors found the medication error so severe it posed immediate danger to resident health and safety.

The facility's infection control logs showed no record of reviewing any of these treatments, despite written policies requiring such oversight.

The immediate jeopardy citation affected "many" residents, according to the inspection report.

Resident #12 told inspectors his roommate's air conditioning hadn't worked in months.