Nursing Home News — Page 341

But nursing staff entered the treatment as "PRN" — meaning as needed — rather than as a daily scheduled order.

The attack left visible injuries that staff documented in an internal abuse report dated June 20.

The dietary manager, identified as V4 in inspection records, told inspectors on August 21 that she lacks certification for dietary management.

At 8:57 that morning, V22 opened the resident's electronic health record showing the 7:30 am glucose check was highlighted in red, indicating it was overdue.

The incident involved Resident 1, who had tested positive for COVID on August 16 and was in isolation.

The incident occurred July 4, 2025, when staff were changing the brief of a resident who has lived at Gallaway Health and Rehab since 2014.

Resident 1 has hemiplegia and muscle weakness affecting his left side, along with bowel and bladder incontinence.

Federal inspectors discovered the life-threatening gap in staff competency during an August 28 complaint investigation.

The resident at Waterville Residential Care Center had been identified as a fall risk due to confusion, gait problems, and a history of falls before admission.

Resident #2 walked toward Resident #1 and started grabbing her neck, according to the administrator's account to inspectors.

The incident occurred at Novato Healthcare Center on July 23, when Resident 2 accidentally spilled hot chocolate on her roommate.

The resident told inspectors she wanted her nails cut.