Nursing Home News — Page 426

The incident occurred when Resident #2 was walking down a hallway and encountered Resident #1, who was talking with a nursing assistant.

Resident #6 told federal inspectors that Resident #8 put his hand on her left knee, rubbing and moving upward on her thigh until she pushed him away.

Certified Nursing Assistant 2 discovered Resident 2 kissing Resident 1's lips and laying on top of him in Resident 1's bed.

The error at The Heights of Alamo created a fundamental contradiction in Resident #1's medical instructions.

Federal inspectors determined the incident posed immediate danger to resident health and safety.

Licensed nurse LN 8 administered the resident's medications around 9:30 a.m.

The nursing assistant, identified in inspection records only as CNA 1, brought the resident into the dining room around 3 p.m.

Federal inspectors observed the medication violations during a 10-minute period that morning.

Day shift staff weren't told about the malfunction and had no idea they needed to increase supervision of residents with dementia.

The discovery triggered an immediate response on October 30, including deep cleaning of the affected resident's room and emergency pest control treatment.

The October 8 confrontation began when Resident B was sitting in the back west hallway with a female resident nearby.

The facility's investigation was riddled with missing documentation and contradictory accounts.