The order had been in place since May 1.
Nursing Home News — Page 335
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The incident occurred July 10 at Miller Health Care Center, where the resident had been receiving treatment for a skin tear wound on the left shoulder.
The Director of Nursing confirmed during an August 26 interview that licensed nurses should have clarified the IV bolus order to avoid confusion.
She requested to be discharged immediately.
The August 26 inspection revealed dangerous conditions in both shower rooms inspectors checked.
Immediate jeopardy citations indicate conditions so severe that continued operation could result in serious injury, harm, or death.
When asked where his call light was, the wheelchair-dependent man confirmed he couldn't reach it.
The August 17 incident at Westview Healthcare Center involved two roommates with vastly different cognitive abilities.
Federal inspectors discovered the unsecured documents at Roseville Point Health & Wellness Center during a complaint investigation on August 25.
The incident unfolded on Thursday morning, August 21, when the night shift nurse couldn't locate the resident during routine rounds.
The June 22nd incident at Altercare Cambridge began when Resident #50 requested her pain medication around 5:13 PM, the time it was actually due.
No staff intervened as inspectors opened the cart's drawers at 3:15 PM on nursing station 4.