Nursing Home News — Page 452

The Social Worker acknowledged during an October 28 interview that she had addressed the family's previous concern about the call light placement.

The staffing shortage created a cascade of care failures.

Resident 1 had been admitted to the facility after experiencing falls.

The falsified documentation at Lutheran Home came to light when an outside infusion clinic contacted facility administrators.

The missed 6 AM dose was never mentioned during shift report, the nurse told inspectors.

But staff were following incomplete orders anyway.

The resident had intact cognition with a score of 15 on cognitive testing.

The facility's director of nursing pulled the complete staff list and found no employee assigned those initials.

The resident, identified as Resident #1 in the November inspection report, scored 15 on a cognitive assessment indicating he was mentally intact.

The facility terminated Dietary Manager B on October 6 following 28 formal complaints about the dietary department in just two months.

The violation centered on Resident #2, who required continuous oxygen therapy with humidification.

The violations put residents at risk for bacterial infections and cross-contamination between patients, according to the inspection report.