Federal inspectors observed the entire sequence on August 20, documenting each breach of safety standards.
Nursing Home News — Page 321
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The medication treats hypertension in patients with heart conditions.
The resident had been walking independently before his fall at Riverside Behavioral Healthcare Center.
When she arrived at the nursing home, staff told her "your medication has not arrived yet." She didn't receive anything for pain until the next day.
The August 19 inspection, triggered by a complaint, revealed unsanitary conditions across all three units of the nursing home.
After entering Resident 18's room, the nurse washed their hands but failed to put on any protective equipment before beginning the procedure.
The prescription specified a quantity of ten pills.
The patient received their last documented pain medication at 1:32 PM on July 25.
She also had difficulty swallowing, rheumatoid arthritis, depression, and anxiety.
The incident occurred on July 13 at 4:30 p.m.
The oversight left Resident 3 and another patient without the documented safety protocols that federal regulations require for catheter care.
The practitioner ordered three milligrams of melatonin to be given every night for insomnia.