Nursing Home News — Page 357

The resident, identified in records as Resident #2, was discovered at 7:50 a.m.

The resident had a physician's order for do-not-resuscitate status on file at Good Samaritan Society Sioux Falls Center.

The resident had been at the facility for more than two years and was previously considered safe to go outdoors independently.

The August 5 incident began around 8:30 pm when a medication aide couldn't locate Resident #1 for his evening medications.

The facility's own policy, last updated in September 2010, spelled out detailed requirements for when staff must wash their hands and use protective equipment.

The patient's fall risk score of 10 placed them in the facility's high-risk category, according to the nursing home's own fall prevention policy.

When both residents were inside, Resident #2 closed the door on Resident #3.

The facility received a phone call between 10:00 and 10:30 a.m.

Columbia Manor Health & Rehabilitation sent the resident to the hospital on August 27 for fluid leakage from their skin.

Federal inspectors found the resident had dried feces on her buttock and a brief fully saturated with urine and feces.

Quarter-sized holes in the foam sealing around the units allowed daylight to stream through, compromising the rooms' environmental controls.

Resident 4 told inspectors he often had to monitor his room's entrance to prevent Resident 1 from entering.