Nursing Home News — Page 458

Resident 92 experienced severe foot pain on April 23, prompting staff at Arbors at Delaware to call the physician and request an emergency room transfer.

Instead, the resident missed seven consecutive doses between November 14 and November 17, according to federal inspection records.

Federal inspectors found the documentation failure at New Orange Hills during a complaint investigation in late November.

The incident at Avir at Beeville involved two residents, identified in the inspection report as R3 and R4.

The breakdown occurred with Resident 2, who was admitted in March 2025 with cognitive communication deficits, age-related cognitive decline, and epilepsy.

The anticoagulant thins blood, creating bleeding risks during surgery.

The November 19 incident at Rose Villa Health Care Center involved 11 different medications scheduled for 9 a.m.

Even then, the training was incomplete and poorly documented.

The violation occurred at Heritage Nursing & Rehabilitation during a November 26 inspection.

The November 28 inspection triggered the most severe federal enforcement action possible short of facility closure.

But when she found the skin irregularities on Resident #1, she made her own assessment that they didn't look suspicious.

That letter detailed behaviors that made the resident "feel upset," according to the administrator who received it.