Nursing Home News — Page 585

According to facility documentation, Resident #1 had no history of physical aggression prior to being struck by Resident #3.

Under federal regulations, nursing homes must notify appropriate authorities of incidents that could impact resident safety or welfare.

Resident #34 had developed a left heel blister that was drained in October 2024 and subsequently tested positive for MRSA.

This screening error had cascading effects on the resident's care.

The licensed vocational nurse assigned to the cart admitted she had gone to a resident's room and failed to properly lock the medication cart.

The resident's care plan, updated in January 2025, explicitly stated that a mechanical lift must be used for all transfers with two staff members present.

The 36-year-old resident, admitted in February 2024 with dementia and neurogenic bladder dysfunction, required an indwelling catheter.

The combination medication, prescribed to manage chronic respiratory conditions, had expired on March 17 but remained in the facility's medication cart.

The fall resulted in a fractured right femur requiring surgical repair.

## Dangerous Call Light Response Times The most concerning findings involved extended delays in responding to resident call lights.

Despite his preference for assisted living, staff discharged him to a homeless shelter against his wishes.

Despite these clear requirements, the nursing assistant attempted a manual transfer that resulted in the resident falling to the floor.