"This was not the first time that [Resident 2] attacked me," Resident 1 told inspectors after describing the chair attack.
Nursing Home News — Page 360
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Resident #2 was lying in his bed with his brief undone when staff discovered resident #1 touching his genitals at Whitefish Care and Rehabilitation.
The Villages of Dallas placed a bolster mattress on the bed of an elderly female resident who had diagnoses of unsteadiness and repeated falls.
Licensed Practical Nurse #201 administered 10 units of insulin to Resident #13 at 12:37 A.M.
CNA A told inspectors she had intended to report the wheelchair collision to a nurse immediately after it happened.
The September 8 complaint inspection found staff had failed to follow the resident's meal ticket, which specifically included coffee with his noon meal.
The resident had been on the same morphine dosage for several years to manage chronic pain and was physically dependent on the medication.
The resident returned from the hospital on July 2 with new diagnoses of right shoulder dislocation and right humorous fracture.
The wound went undetected at Douglas Cove Health and Rehabilitation until an outside provider discovered it during a routine visit and alerted facility staff.
The violation occurred after the resident reported mistreatment during a weekend emergency room visit.
The administrator at Longview Hill Nursing and Rehabilitation Center did not investigate the allegation further.
Licensed Practical Nurse #135 was among the staff who failed to initial medication records immediately after giving drugs to Resident #10.