The orders called for reducing the resident's Seroquel from 50mg to 25mg at bedtime and starting a new antidepressant, Trazadone, at 50mg nightly.
Nursing Home News — Page 310
All Stories
Inspectors determined the facility had created an unsafe environment for residents prone to elopement.
His doctor ordered neurological checks for 72 hours.
The facility's Dietary Director confirmed the dining room remained closed through at least August 13 due to insufficient nursing staff.
The medication error occurred when the nurse failed to use basic safety protocols required before giving any medication.
The posted schedule showed "Science Experiment" at 11 a.m., "Parachute Popcorn" at 2 p.m., and "Name that Tune" at 3:30 p.m.
Resident #96 was readmitted to the facility on June 3 following treatment for cholecystitis, sepsis, and septic shock.
After searching near the bed, the assistant found the device on the floor behind the bed frame.
The facility's own admission agreement promised residents would receive monthly itemized statements of all charges.
The incident occurred July 31 when the nurse entered a room where a woman lived with her hospice-status husband.
When inspectors interviewed the administrator on August 11, she explained the facility's reasoning for skipping the required notification.
Resident #1 was lying on their side when the fall occurred.