Nursing Home News — Page 428

The administrator, who has worked at the facility for 11 months, said nursing staff are responsible for medication audits.

The facility's own policy required immediate notification of families when residents experience "significant changes" including death.

The November 14 inspection followed a complaint about restraint use at the 91732 Buffington Road facility.

The incident occurred on September 9, 2025, at Colonial Gardens Nursing Home when Resident 5 told Licensed Vocational Nurse 11 that someone had hit him.

Daily weights are essential for heart failure patients because sudden weight gain signals dangerous fluid buildup that can lead to hospitalization or death.

The resident had completed a POLST form electing "do not attempt resuscitation" status.

On November 12, inspectors found her nebulizer mask and tubing sitting uncovered on her nightstand instead of stored in a protective bag.

No staff members were present in the hallway.

Without his call light within reach, he had no reliable way to alert staff when he needed help.

The September 18 incident occurred while EMTs waited outside the room to transport the resident for a weekly medical procedure.

Resident #3 had been receiving weekly treatment at a local wound care clinic under Medical Director #1.

The falsified medication record at Civita Care Center involved Alprazolam, a controlled substance prescribed for a resident's anxiety disorder.