Nursing Home News — Page 484

Instead, the medication wasn't given until 7:15 PM on January 9, well past the resident's preferred bedtime of 7:00 PM.

At 6:59:40 p.m., the evening receptionist abandoned her post to help a wheelchair-bound resident toward the back of the facility.

But a review of his medical records revealed no behavioral concerns or hallucinations until after the falls occurred.

Federal inspectors found the facility's Quality Assurance and Performance Improvement committee ineffective during a March complaint investigation.

Two days later, inspectors found the same resident with pork and toast for breakfast.

Three residents reviewed by inspectors fell a total of five times within days of admission.

Resident #9 arrived at Melrose Healthcare in November 2024 with diabetes and mild cognitive impairment.

The complaint came during a federal inspection at Life Care Center of Port Townsend that uncovered widespread failures in basic patient care.

The resident, identified only as CR#1, was eventually discharged as "against medical advice" without ever coming back to the facility.

She received no written explanation for the transfer and no orientation to her new accommodations.

Federal inspectors found the facility failed to manage pain appropriately for the resident, who has fibromyalgia, back pain, and polyneuropathy.

The July 19 citation marked the most serious level of nursing home violation — immediate jeopardy to resident health or safety.