The resident, identified as Resident #1, entered the facility on August 20, 2025, with closed scar tissue on the sacrum and no open wounds.
Nursing Home News — Page 397
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The resident at Egle Nursing Home had spent the entire day confined to their room on August 30, 2024, because their roommate had tested positive for COVID-19.
Resident 39 required complex care including a tracheostomy, colostomy, and dual-port abdominal tube for both gastric emptying and feeding.
The facility's administrator confirmed during an October interview that Staff H should not have performed the procedure.
Federal inspectors found the privacy violation during an October complaint survey at Oak Crest Village on Walther Boulevard.
The 162-bed Wyant Woods Healthcare Center administered the antibiotic as ordered on August 20 and 21.
The CNA immediately separated the residents and notified the nurse on duty, who called police.
The errors occurred during federally required assessments designed to prevent residents from becoming trapped between bed rails and mattresses.
The facility's administrator acknowledged the problem during an interview with inspectors on October 10.
The Hoyer lift is a mechanical device used to safely transfer residents who cannot move independently.
The Healthcare Center of Orange County received the grievance from Family Member 1 about Resident 1's dangerous positioning behavior.
His care plan, revised August 4, specified the need for barrier precautions related to his catheter care.