Nursing Home News — Page 463

Federal inspectors visiting Nexus at Berwyn in December found blackish mold covering the bottom of all four walls in a common shower room used by 11 residents.

"The curtains were torn and in need of replacement," the supervisor told inspectors on December 18 as they examined rooms A, B, and C at Stonebrook Post Acute.

Federal inspectors documented the violation during a complaint investigation completed December 22, 2025.

The resident's physician ordered Bumex, a powerful diuretic medication, to be administered twice daily starting December 11.

The incident allegedly occurred on November 28, 2025, during the night shift when Employee 3 was assigned to care for Resident 1.

The patient's family held power of attorney and was visiting another relative just down the hall when staff placed the catheter without their knowledge.

Federal inspectors found the violation during a complaint investigation on December 23.

Resident 1 had been readmitted to the facility with a fractured left tibia and acute kidney failure.

Federal inspectors found the medications during an unannounced visit to Cedar Pine Post Acute on December 23.

The doctor had ordered nurses to hold the medication if the resident's heart rate dropped below 60 beats per minute.

The nursing assistant had neither.

Resident 23, who has been at the facility since July 2023, depends entirely on staff for personal care due to paralysis affecting his left side.