Nursing Home News — Page 537

The December 30, 2025 inspection resulted in a citation under federal regulatory tag F0689, which governs accident prevention and resident safety.

The resident's foot slipped from the sit-to-stand platform at 6:30 a.m.

The facility received an allegation of sexual abuse involving Resident #5 on September 18, 2025, at 2:30 PM.

The administrator acknowledged he was unaware that Residents #4, #5, #7, #8, and #9 had not been care planned following their falls.

LPN3 discovered the missing fentanyl patches on October 7, 2025, when she tried to administer the scheduled 7:00 AM dose to Resident 5.

## Medical Implications of Inadequate Dementia Services Dementia care deficiencies can trigger a cascade of negative health outcomes.

The training gap emerged during a federal inspection following an incident involving resident 52.

Two days later, the resident set his bed on fire.

On December 25, 2025, he had his breakfast.

Whether their hands are steady enough.

The incident, documented in a January 2, 2026 complaint inspection, began on a morning the resident described as his exercise day.

After that, according to CNA #2, R #1 was "nice to everyone except CNA #1." The staff knew it.