Three days later, the doctor still had no idea what happened.
Nursing Home News — Page 312
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Licensed Nurse C discovered the situation on July 27 when she walked past Resident 2's room and found RN B exiting and closing the door behind her.
The resident's assessment documented both physical and verbal behaviors directed toward others.
Resident 29 had been living at the 28-bed facility since March 21, 2024, with a diagnosis of dementia.
State inspectors discovered the violation during an August complaint investigation.
Someone reported the incident to state health officials the next day.
The puree chicken registered 128 degrees, mashed potatoes hit 134 degrees, and puree green beans reached only 132.6 degrees.
The resident's bed was raised approximately three feet when the fatal fall occurred.
Federal inspectors found Kabul Nursing Homes failed to develop appropriate dementia care for the resident during an August complaint investigation.
The housekeeper who discovered the scene on August 11 around 10:30 a.m.
Yet the facility's medication administration records told a different story.
Resident #71 arrived at the facility on July 26 from a subacute care hospital with acute respiratory failure, pneumonia, and a tracheostomy already in place.