Nursing Home News — Page 365

Yet certified nursing aides repeatedly failed to document this critical care across a two-week period in August.

The resident had fallen at Robison Jewish Health Center on August 23 while attempting to transfer to the restroom without assistance.

The 71-bed facility had no physician's order allowing the resident to self-administer medications or keep them at bedside.

Resident #1 arrived at Brookdale Trinity Towers after a fall that caused a fracture requiring surgical intervention.

The resident had an unstageable pressure injury, placing him in the high-risk category under the facility's Enhanced Barrier Precautions policy.

The resident representative filed a grievance on July 24 after discovering the woman's glasses were missing.

The facility's response included a comprehensive search protocol and same-day staff training on multiple security measures.

The facility's own nursing schedules documented the gaps in coverage.

The September 9 incident at ALS Woodstock involved a resident with multiple medical conditions including diabetes, heart disease and a right leg amputation.

The resident had moderate cognitive impairment and was prescribed morphine for pain and restlessness.

Resident 69 had been hospitalized from August 8 through August 12 for metabolic encephalopathy and acute kidney failure.

The citation lasted from June 6 through June 7, when the facility corrected the problems before the formal investigation began three months later.