The family member told federal inspectors they had to cut the resident's nails during every visit to prevent injury.
Nursing Home News — Page 302
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Federal inspectors found three residents with cognitive impairments sharing the water-covered bathroom, all at high risk for falls.
The resident, identified in inspection records as R1, had scored eight out of 15 on a cognitive assessment in May, indicating moderate impairment.
Staff searched the building before finding her at the gas station across the street.
The patient's family member found the untouched meal during a 6:38 PM visit on August 6th at Park Valley Inn Health Center.
The resident at Claremont Care Center had been admitted with a history of falling and a fractured right thigh bone that required surgical repair.
The violations occurred during wound treatments for two residents with serious injuries requiring enhanced infection control precautions.
The nurse acknowledged this created serious safety risks.
CNA HH told inspectors she was "unaware of any of the residents in the room being on EBP" and had been providing care without protective equipment for weeks.
The resident suffered a fracture at the superior endplate of her L1 vertebra after her wheelchair flipped backwards during transport from dialysis on April 25.
The resident, admitted June 19 with spinal stenosis and recent lumbar spine fusion, was ordered to see a neurologist on June 24 for post-surgical follow-up.
R350 arrived at the facility with existing pressure injuries — a full-thickness stage 3 ulcer on the right buttock and a stage 1 injury on the left heel.