CNA 168 was terminated on June 27, 2025, for the improper transfer technique that injured the resident.
Nursing Home News — Page 316
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On some days, just two certified nurse aides covered entire units designed for three.
The nursing home didn't submit the request until May 14 — 217 days after the required deadline.
The assault occurred on June 27 when Family Member C became upset that one resident wouldn't eat beans brought from home.
The August 14 inspection revealed the extent of the rodent problem.
The resident, identified as R1 in inspection records, suffers from bipolar disorder, anxiety and insomnia.
Federal inspectors found the facility violated resident rights regulations during a complaint investigation completed August 15.
The resident exhibited mood swings from August 8 through August 12, with angry outbursts increasing on August 9 and 10.
The posted breakfast menu for August 15 promised hot or cold cereal, breakfast quiche, and milk or juice.
The August confrontation began when Resident #1 became upset about not getting a cigarette when he wanted one.
But staff overlooked both medications during the admission process.
The citation carries the most serious level of harm designation under federal nursing home regulations.