Only a concerned family member's phone call hours later prompted nurses to review her condition and discover the critical signs.
Nursing Home News — Page 314
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Resident 1, diagnosed with diabetes mellitus, had elevated blood sugar levels but received no glucose checks or diabetic medications.
Federal inspectors found every single resident room they checked exceeded the facility's own temperature policy during an August inspection.
The facility received the most serious level of violation — immediate jeopardy to resident health or safety — during a complaint inspection.
When asked what the medications were, the resident couldn't identify any of them.
Federal inspectors found shower records for one resident showing no nail care documented across seven separate showers between June 3 and July 18.
During an August 14 inspection, the administrator demonstrated the front door alarm by lightly pushing the door.
Morning Star Post Acute staff held Resident 5's eye pressure medications on July 19 because the pharmacy had not delivered them.
She scratched her chest, abdomen, legs, arms, palms, flanks and back as she spoke.
The resident also had epileptic seizures and difficulty swallowing that originates in the mouth.
Only three residents didn't eat facility food.
The incident at Willows of Greensburg involved a severely cognitively impaired resident with non-Alzheimer's dementia, atrial fibrillation, and hypertension.