Nursing Home News — Page 427

The resident, identified only as R1 in inspection records, fell at 5:05 AM on October 28, sustaining the fracture that required medical treatment.

But when she reviewed the resident's file with the surveyor, she found no discharge instructions or summary had been created.

The facility served meals from mobile carts with plastic dome covers but no plate warmers.

The incident occurred at St Annes Nursing Center on October 9, 2025, around 6:00 AM as staff prepared Resident #1 for dialysis.

Federal inspectors found the 112-bed facility displaying nursing staff data from September 11 when they arrived on September 16.

Federal inspectors found that Harmony Dubuque violated residents' rights to communicate with family members during a November complaint investigation.

The October incident left the facility without a roadmap for staff to follow, despite physician orders for daily wound care that would continue for two weeks.

Resident 74 fell on August 11 in an incident nobody witnessed.

The resident's potassium dropped to a critical 2.7 mEq/L, requiring immediate intervention.

Federal inspectors found multiple violations of basic safety protocols at Whittier Hills Health Care Center during a November complaint investigation.

The resident asked for her pain medication schedule to be changed from every six hours to every four hours on November 12.

CNA 1 told inspectors they routinely placed pillows under the fitted sheet to prevent falls when Resident 2 attempted to get out of bed unassisted.