Nursing Home News — Page 368

On June 28, the resident's morning blood pressure measured 96 — well below the safety threshold.

The system's failure created potential escape routes for residents with dementia or other conditions requiring supervised care.

For three days, nursing staff administered nothing.

The resident had been waiting since lunchtime when staff started making the bed but never returned to complete it.

The resident told staff that an aide had grabbed her roughly during a transfer the night before.

CNA 2 immediately reported the finding to LVN 2, who went to assess the resident.

The resident, identified as R101 in state inspection records, had sustained trauma that led to necrotizing fasciitis of the left arm and leg.

The violations affected at least three residents and involved both staff-to-resident abuse and theft allegations.

During breakfast on September 8, LPN #1 fed two unidentified dependent residents by alternating bites between them.

The resident told inspectors the hair-pulling "did not hurt" but "made her angry towards Family Member #1." Resident #50 told the family member to leave.

The wound vacuum wasn't delivered and placed until July 29.

When that delivery failed, staff waited weeks before attempting to resend the information.