Nursing Home News — Page 416

The facility never issued the mandatory written discharge notice to the resident, their representative, or the state long-term care ombudsman.

The first incident occurred in October 2024.

The smell greeted surveyors on October 27 during their initial entrance and tours of the facility.

Only when she looked in the medication cup and asked "where her Bumex and aspirin were" did the nurse return to his cart.

Federal inspectors found the medication errors at Aventura at Carriage Inn during an October 30 complaint investigation.

The October 9th fall at Kingston of Ashland happened at approximately 5:57 P.M.

The discovery occurred during routine cleaning of Resident 82's room at Embassy of Newark.

Resident #2 lay in a recliner in the activities room when inspectors arrived in October.

But CNA #1 worked until 11:00 PM that night, continuing to provide direct patient care throughout the facility.

"Well [Resident #1] is combative with care," Director of Nursing told federal inspectors on October 30.

The woman had a silver dollar-sized ruptured blister on her left heel with an open area measuring approximately one-eighth inch by one-quarter inch.

When they arrived at the nursing home on August 12, the thin, flexible tube was already in place to deliver nutrition and medications.