Federal inspectors found the facility failed to prevent the resident from wandering into traffic, creating immediate jeopardy to his safety.
Nursing Home News — Page 388
All Stories
The falsified documentation at Palm Garden of Mattoon affected at least two residents who depend on oxygen therapy around the clock.
The resident, who normally feeds himself, had indicated nonverbally that he wasn't feeling well that day.
Resident 33 fell in the shared bathroom in August while trying to use the broken fixture.
She requested four additional boxes and expected delivery within days.
LVN 1 gave metformin to Resident 2 at 9:00 a.m.
The resident, identified as Resident #2 in inspection records, was discovered missing on August 23.
Staff would offer to reheat his food, but he didn't want reheated meals.
Federal inspectors found the respiratory care failures during a September complaint investigation at Pelican Ridge Post Acute on Flagship Road.
The thin tubes, inserted directly into the stomach to deliver nutrition and medications, require daily cleaning and dressing changes to prevent complications.
Resident 15 needed to be changed after soiling himself.
She told administrators she planned to return later but never did.