Nursing Home News — Page 425

The medication error at Cascade Terrace Post Acute involved temozolomide, a cancer drug that was supposed to stop after five days in April 2025.

The footage shows the aide becoming frustrated when residents wandered into the wrong room, then physically assaulting both patients within seconds.

The November inspection revealed confusion among nursing staff about proper sling sizing based on resident weight and body measurements.

The resident also developed edema, or swelling.

Administrator interviews revealed staff confusion about supervision requirements.

The facility's own policy requires an interdisciplinary team to review every fall within 72 hours and modify prevention strategies as needed.

The boots had vanished after the resident returned from a hospital stay.

The resident was admitted with multiple diagnoses including dementia, heart failure and diabetes.

The resident's representative had signed legal documents directing the facility to provide all possible life-saving interventions.

Federal inspectors found the facility failed to complete required care plans during a complaint investigation in November.

Licensed Vocational Nurse B told inspectors that nursing aides typically performed the weighings and reported results to her for entry into medical records.

Federal inspectors found the facility violated basic notification requirements during the November incident.