Nursing Home News — Page 451

The inspection, completed November 24, 2025, revealed gaps in care delivery despite what appeared to be adequate staffing levels.

Staff immediately intervened and helped the resident back to their room, according to nursing notes.

The director of nursing told inspectors he wasn't aware the residents weren't receiving showers or bed baths.

Resident #105 lived with severe cognitive impairment, epilepsy, heart failure, intellectual disability, and muscle weakness.

She told inspectors she never took the ring off and was very upset when she discovered it missing.

Instead, Licensed Nurse 1 administered a 20-milligram tablet that belonged to a different resident.

"She forgot to sanitize the glucometer, and it should have been done after using the glucometer," the nurse told inspectors when confronted about the lapse.

Moderate pain registers 4-6, while severe pain spans 7-10.

The facility's own dietary manager acknowledged the violation could lead to cross-contamination and pest control problems.

Patient 1 had been admitted in September with Type 2 diabetes and was identified as an elopement risk from day one.

The woman, identified in the inspection report as a family friend of the resident, discovered the confused man around 8:30 a.m.

Federal inspectors found Estates at Shavano Park operating without a policy for assessing nurse competencies during a complaint investigation in November.