Nursing Home News — Page 418

The incident began when CNA C was providing peri-care to Resident #1 and reported hearing the distinctive sound.

The DON acknowledged the serious consequences of failing to report.

The resident was found unresponsive on August 16, 2025, during the night shift.

The lift tray used to carry food was soiled and covered with debris.

The fracture was first noticed on August 17 when a licensed practical nurse spotted discoloration on the resident's left collar bone.

The woman said "okay," and the man proceeded to touch her breast.

Federal inspectors arrived two days later to investigate the incident that put the resident's health and safety at immediate risk.

The resident, identified as R1 in the inspection report, was admitted with dehydration, Parkinson's disease, anxiety and weakness.

Resident #159 arrived at the emergency room at 4:23 a.m.

The incident occurred during a two-week period when the facility's call light system had malfunctioned.

The discharge delays had serious medical consequences.

The October 2nd incident involved a resident who had lived at the 91-bed facility for more than two years.