Nursing Home News — Page 313

The wheelchair's left brake couldn't grip its bald tire.

But inspectors could find no evidence that a physician had assessed whether the resident was ready for a safe discharge.

The resident at Life Care Center of Kennewick had been admitted with a brain injury that caused loss of consciousness, stroke damage, and a history of falling.

Yet no protective measures were put in place.

The CNA stepped between the residents and separated them.

The violent incident unfolded during a two-day stay at Boulder Park Terrace in July.

The resident was sent to the hospital at their family's request and returned "only a couple of hours" later, according to the facility's director of nursing.

The Assistant Director of Nursing acknowledged the facility's policy requires leaving a discharge note and confirmed this was not done.

Resident #2 had been yelling and cursing when CNA A and LVN B heard the commotion from another room.

The August incident exposed critical failures in the facility's wandering prevention systems.

The resident, identified in federal inspection records as Resident 1, suffered from hemiplegia and hemiparesis following a stroke.

He required an indwelling catheter due to neurogenic bladder and was considered cognitively intact with a mental status score of 13.