Nursing Home News — Page 460

"Last night and this morning it was better because facility staff responded within 10-15 minutes," the resident said during a November 25 interview.

State inspectors found the maintenance office propped open twice on October 14, with hazardous materials sitting within reach on a desk and shelf.

Federal inspectors found the nursing assistant, identified as CNA A, completed the transfer alone while waiting for another aide to arrive.

RN A admitted she couldn't complete wound care for Resident #1 on October 1 because she was too busy.

The December 1 incident at Kirkland Court Health and Rehabilitation Center lasted at least two minutes.

The licensed nurse also confirmed there was no care plan addressing the refusal.

The dispute at Paradigm at First Colony centered on Resident #1, who had designated a friend and neighbor as her power of attorney.

The port site serves as a surgical access point for the dialysis procedure.

The resident, identified as Resident 4, told inspectors he buys his own food and staff store it in the nurses' station refrigerator.

Despite these complex medical needs, staff failed to create or document the federally required discharge plan before sending him to temporary housing.

The arrangement represents one of the most restrictive supervision protocols possible in a nursing home setting.

Resident #2 returned from the hospital in early November with a foley catheter.