Nursing Home News — Page 584

The violation affected a small number of residents, according to the inspection record.

When that handoff fails and a resident goes unaccounted for 15 minutes, an elopement response is supposed to activate.

The pattern began on July 24, when Resident E reported her call light had gone unanswered for more than two hours overnight.

The care plan dated August 5, 2025, contained no mention of the UTI or the hernia.

The bread and dessert freezer had no log.

Resident M hit her left foot on a wheelchair wheel coming back from the shower on August 11, 2025.

Federal inspectors flagged the failure during a September 18 complaint inspection.

The third floor, where E33 had worked the 11 p.m.

Federal inspectors documented the lapses in a complaint inspection completed September 19, 2025.

The resident, identified only as Resident R1, required full staff assistance and a Hoyer lift to get out of bed and into the shower room.

By late August 2025, a physician had ordered wound care twice daily, at 8 a.m.

The resident vomited before the nurse even disconnected the syringe.