Nursing Home News — Page 563

The incident happened on the night of June 21, 2025.

The answer, according to two staff members interviewed that morning, was a system built on sign-out books and hourly rounds.

The resident, identified in inspection records as Resident #2, has a suprapubic catheter, a tube inserted directly through the abdomen into the bladder.

By the time a federal inspector observed the unit on August 18, water was running along the entire bottom panel, onto the bedside table, and down the wall.

The care plan dated October 20 listed the foley catheter as a focus of care, with instructions to provide skin care and encourage fluids.

Inspectors observed Resident 66 in her wheelchair on the morning of August 24, 2025.

Inspectors cited Mason Health Care Center following a complaint investigation completed August 26, 2025.

The dietary manager confirmed all of it on the spot.

The manager then entered the scheduled shower days into the system during the inspection itself.

He had been incontinent of both bowel and bladder.

Not the Social Services Director.

The admission nurse missed the schizophrenia diagnosis entirely.