Instead of returning directly to Mitchell Manor after the doctor's visit on July 28, the driver made an unscheduled stop.
Nursing Home News — Page 318
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Federal inspectors found Touchpoints at Chestnut failed to maintain proper medical records for skin monitoring between February and July 2025.
Resident #63 complained that she received no breakfast or lunch tray on April 20.
LVN A admitted she slapped Resident #1 during an incident at Brenham Healthcare Center.
The resident had multiple serious medical conditions including head and neck cancer, prostate cancer, chronic kidney disease, and was taking blood thinners.
Federal inspectors documented the contamination incident during a complaint investigation at Gates Health and Rehabilitation Center on August 14.
The 78-bed facility accidentally gave Resident #82's Lasix medication card to Resident #81's family when that patient left the nursing home.
The chemical had already turned his lips and tongue blue.
CNA B noted that the resident "tends to have a bowel movement before getting showers," suggesting the timing issues were known but unaddressed.
V4, identified as the facility's social worker, explained his weekly routine to inspectors on August 17.
Resident 1 sat in his room on August 18 with dark debris caked under fingernails on both hands.
She requested to be sent to the hospital.