Nursing Home News — Page 352

Federal inspectors found the violation at Monrovia Gardens Healthcare Center during a complaint investigation in late August.

Licensed Nurse 1 received the initial report from a certified nursing assistant around 9:30 a.m.

The woman, identified in federal inspection records only as Resident 1, first fell on August 1 at 1:34 a.m.

But when federal inspectors arrived at St.

Resident #6 could not use her call light to summon assistance.

Her doctor had prescribed a complex insulin regimen: 40 units of Humulin R in the morning, 60 units in the evening, plus weekly Trulicity injections.

The resident arrived at Visalia Post Acute from a hospital appointment on June 25 with visible injuries.

The Medical Services director at Primrose Post-Acute brought the boxes from storage and left them outside, planning to dispose of them later.

Apple Rehab Shelton Lakes admitted Resident #2 in January 2023 with diagnoses including schizophrenia and depression.

When the resident fell, they hit their head and scraped both knees, requiring hospitalization for evaluation and treatment.

The resident had been complaining of knee pain despite receiving multiple medications including nerve pain medicine and an anti-anxiety drug.

Resident #36 was discovered unresponsive at 3:45 AM on August 27 when RN #1 tried to wake her for 2:00 AM medications.