Resident 2 was found sitting on the floor in front of her wheelchair in the Love 2 Lounge at LeTort Spring Nursing and Rehab on November 10 at 7:10 PM.
Nursing Home News — Page 467
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Five shampoo bottles lay toppled and scattered across the shower floor alongside several white cleaning wipes.
The December 21 confrontation left Resident 2 terrified in her own bed as Resident 1 angrily waved a slipper and demanded she get out.
from a hemorrhage at her AV fistula site — the surgically created connection between an artery and vein that allows dialysis patients to receive treatment.
On December 15, Resident 1's blood pressure measured 108/62 with a heart rate of 78.
The facility failed to ensure nursing assistants had the skills and competency to safely handle residents during bed mobility and turning procedures.
Resident #1 had been hospitalized and was recommended to follow up with a gastroenterologist based on their ongoing constipation issues.
Certified Nursing Assistant J responded to a code in Resident #21's room on December 22 and found Resident #22 on top of the victim.
The medication error at Continuing Care at Lantern Hill involved residents receiving each other's IV antibiotic treatments.
LVN A admitted during questioning that he had missed the hand washing step entirely during wound care treatment.
Federal inspectors discovered the facility failed to notify the Texas state agency responsible for licensing when it changed administrators in March 2023.
Facility policy required the fall coordinator to investigate each incident and revise the resident's care plan with new interventions based on the root cause.