Nursing Home News — Page 534

Inspectors classified the deficiency as isolated but noted the potential for more than minimal harm to residents.

The resident had developed the new wound on December 4.

The inspection, completed December 31, 2025, stemmed from a complaint.

The survey team offered to delay their exit until the next day if administrators felt they had additional information to provide about the case.

The December 30 inspection found the facility failed to serve palatable, attractive food at safe temperatures to residents.

What he couldn't show was that the facility had ever done a formal risk assessment to reach those conclusions.

"They took the call light from me," the woman told federal inspectors on December 30.

The resident, admitted in 2025 with obesity and diabetes, was supposed to receive weekly semaglutide injections starting September 23.

Federal inspectors found the facility had no policy governing this arrangement.

The facility's own administrator acknowledged the gap.

But Adult Protective Services and the state Ombudsman weren't contacted until December 16 at 6:30 p.m.

The behaviors started after a provider discontinued the resident's medications in late November 2025.