Nursing Home News — Page 584

## Inappropriate Contact with Sleeping Resident The incident occurred on the evening of February 7, 2025, when a resident was sleeping peacefully in his bed.

Federal inspectors identified critical supervision lapses that placed vulnerable residents at risk of serious harm.

This recurring citation pattern indicates the facility has struggled to fully correct underlying safety issues that initially triggered regulatory action.

Documentation shows the resident made sexually inappropriate comments to staff on June 8, with the behavior continuing and escalating over the following weeks.

## Complete Care Abandonment Captured on Video Surveillance footage from March revealed the shocking extent of the care abandonment at Jefferson Manor.

The BIMS scale ranges from 0-15, with lower scores indicating greater cognitive decline.

## Inconsistent Cleaning Schedules Documented The inspection revealed significant gaps between the facility's written policies and actual cleaning practices.

When questioned, the nurses acknowledged they should have worn proper PPE to prevent infection spread.

**Incontinence care** represents a critical aspect of nursing home care that directly impacts resident dignity and health.

The facility's QAPI committee, responsible for monitoring and improving care quality, failed to maintain effective systems for ensuring regulatory compliance.

## Cold Food Service Prompts Resident Complaints The inspection began after multiple residents complained about food quality.

## Freezer Contamination Risks Documented During a March 27, 2025 inspection, surveyors found significant ice buildup in the facility's food storage freezer.