Nursing Home News — Page 582

The April 18, 2025 complaint investigation revealed systemic failures in fall prevention protocols that put residents at immediate risk of harm.

During their morning inspection at 7:57 a.m., surveyors documented multiple safety hazards in the bathing room.

Medical records showed the resident lacks mental capacity to understand and make medical decisions.

**FB_POST:** BREAKING: Mansfield nursing home cited for immediate jeopardy after failing to protect suicidal resident with proper safety protocols.

One patient receiving hospice care for stage 5 kidney failure missed four fentanyl patch applications over 13 days.

Inspectors found two residents with pressure ulcers were not receiving the enhanced barrier precautions required by federal regulations updated in April 2024.

Despite having clear protocols in place, inspectors observed multiple instances where nursing staff failed to follow these critical safety measures.

The resident had a deep wound reaching muscles, ligament and bone that required specialized care.

The individual was transported to the hospital emergency department for evaluation and returned to the facility five days later.

According to inspection findings, residents consistently experienced long delays when requesting assistance with fundamental daily care needs.

The violations centered on inadequate documentation of insulin administration for a resident with both diabetes and Parkinson's disease.

This created a dangerous scenario where, in the event of cardiac arrest, emergency responders would have conflicting information about the resident's wishes.