Nursing Home News — Page 303

Licensed Vocational Nurse 3 acknowledged receiving the lorazepam order on March 23 but admitted missing the step of ensuring informed consent.

She had already given morning medications to ten residents but waited hours to sign the electronic records, using someone else's login credentials to do it.

The pattern emerged during federal inspectors' review of Resident Council and Food Committee meeting minutes from June and July 2025.

The facility maintained a comprehensive QAPI policy implemented in November 2012 and revised as recently as November 2023.

The facility's care plan, initiated June 6, addressed only some of these identified needs while omitting others entirely.

During a group interview on August 7, residents were direct about their experience.

"She could not find anything who would clean it," according to the inspection report.

Federal inspectors found the violation during an August complaint investigation at Doylestown Health Care Center.

Federal inspectors found the nursing home violated regulations requiring prompt delivery of admission agreements to residents and their representatives.

The resident scored a 10 on a cognitive assessment, indicating moderate impairment.

The breakdown at Harker Heights Nursing & Rehabilitation occurred on August 9, 2025, when the cooling system serving the memory care wing stopped working.

The infection control violation occurred at Cedar Crest Nursing and Rehabilitation Center during federal inspectors' complaint investigation in August.