Nursing Home News — Page 351

The facility's own MDS coordinator acknowledged the error during questioning.

The resident, identified in inspection records only as Resident #1, had been admitted to the facility with vascular dementia and mood disorder.

The resident's medical record showed he was cognitively intact and suffered from anemia, end-stage renal failure, and heart failure.

Staff documented a morning check at 9:52 a.m., nearly two hours after the facility typically serves breakfast around 8 a.m.

The August incident at Wells LTC Nursing & Rehabilitation exposed failures that federal inspectors classified as immediate jeopardy to resident safety.

Resident 59 requested a room transfer and called a family member to report what the roommate had said.

Resident #89 hit Resident #109 with their walker as the latter walked down the B unit hallway on June 10, 2025.

The facility destroyed 29 hydrocodone-acetaminophen tablets on July 17, three weeks after the patient had been discharged home.

She had to knock repeatedly before someone finally heard her and unlocked the door.

Federal inspectors observed the cart unattended at 8:47 AM and again at 9:10 AM.

Federal inspectors found the violations during a complaint investigation at Orange Healthcare & Wellness Centre in September.

Resident 3, who had congestive heart failure and advanced liver scarring, departed the facility on June 8 against medical advice.