Nursing Home News — Page 373

The hand hygiene failures were not a matter of interpretation.

Inspectors cited Yuba City Post Acute under a category covering resident assessment and care planning deficiencies.

The resident, identified in federal inspection records as R501, was described by staff as "huffing and puffing" with a heart rate of 132 beats per minute.

The level of harm was listed as actual harm.

The resident, identified in inspection records only as Resident 2, had the gap in their window covered with a piece of wood as a temporary measure.

Nobody had investigated it further.

The deficiency was classified as causing minimal harm or potential for actual harm, and inspectors noted it affected some residents, not just one.

Gregory Ridge Health Care Center did not follow that process.

The Director of Nursing, identified in the inspection report only as DON B, described the process in precise terms.

Somewhere inside that chain, in a message timestamped 8:08 in the evening on September 30, was an allegation of abuse.

The finding, tagged under federal care planning requirements, covered five residents whose care plans contained no mention of discharge planning at all.

At Meadville Convalescent Home, inspectors found the facility was not honoring that right.