The discovery on January 9 exposed a pattern of neglect that extended far beyond one resident's room.
Nursing Home News — Page 486
All Stories
Resident 233, who has heart failure and diabetes, soiled herself at 9 AM on February 6 and pressed her call button for help.
The errors included crushing Isosorbide Mononitrate ER, a heart medication, and Slow-Mag, a delayed-release calcium and magnesium supplement.
Resident 35 was supposed to receive only pureed food after the May 13 choking episode.
Licensed Practical Nurse #4 discovered Resident #75's feeding tube was clogged during medication administration on March 26.
The February 26 incident was one of at least five documented attacks by Resident #2 against other residents and staff since November.
Resident #123 was last seen by staff at 5:30 PM on July 29, 2023, sitting in the television room.
The facility's own policy requires staff to wear masks, gowns and gloves before entering rooms of residents on droplet precautions.
The 93-bed facility's medication error rate reached 6.9 percent, exceeding the federal limit of 5 percent.
The same drug screen showed no traces of alprazolam, the anxiety medication he was supposed to receive.
The January 6 incident occurred at 2:04 p.m.
The resident screamed that "she was raped last night" in front of her husband during his visit on February 1st.