The 78-year-old woman with moderate mental impairment had been admitted to Autumn Creek Post Acute with the catheter already in place.
Nursing Home News — Page 413
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The violations came to light during a complaint investigation at Country Lane Gardens Rehab & Nursing Center.
In resident 15's room, the soap dispenser had been torn completely off the wall.
The moves affected residents with serious medical conditions including dementia, Parkinson's disease, and chronic kidney disease.
She had no walker or wheelchair with her.
Those orders were discontinued on October 7 when R1 returned to the facility from a hospital stay.
The resident felt the exercise was too aggressive and started pushing back.
The therapist later confirmed the objects were maggots.
Federal inspectors found the facility failed to complete the required care plan for Resident #2 within 21 days of her October 6 admission.
On October 22, inspectors observed Resident 43 sitting in dining room B at 12:15 PM, waiting for lunch trays that didn't arrive until 1:10 PM.
At least six residents developed severe itching rashes consistent with scabies infestation by mid-October.
The resident had called her son on September 1st asking him to bring a fly swatter because there were so many flies in her room.