Federal inspectors found the pre-pulled medications during a September 25 observation at 8:18 A.M.
Nursing Home News — Page 455
All Stories
LPN #616 told the facility's wound nurse that she had checked Resident #64's skin before the appointment and found no new problems.
The morning started with what should have been a straightforward breakfast service.
Resident 9 moved into a room where the window blinds were already damaged and the chest of drawers was missing its bottom drawer.
The attack unfolded quickly in the dining room.
The resident's PICC line eventually clogged and required removal.
The September 19 altercation at Marshall Rehab & Nursing began as a verbal dispute about politics between the two roommates.
The resident's responsible party told inspectors during a November 24 interview that facility staff never informed them about the shingles diagnosis.
Without proper compression, the drains essentially stop working.
The resident at Griffith Park Healthcare Center required all medications to be crushed because he could not swallow whole pills.
She told inspectors she acted at the resident's request but now realizes she should have refused.
The incident occurred at Folsom Care Center, where Resident 1 has lived since 2020 with diagnoses of traumatic brain injury and dementia.