Nursing Home News — Page 603

The inspection revealed that only two residents in the facility were receiving fentanyl patches at the time of the survey.

The resident was treated with antibiotics on January 2-9, January 22-27, February 8-19, February 13-21, April 29-May 6, and May 21-28.

Despite this significant deficit, the facility's initial Elopement Risk Tool assessment rated R1 at zero out of nine points for elopement risk.

Enhanced barrier precautions represent a critical defense against healthcare-associated infections, particularly for residents with indwelling medical devices.

One resident with diabetes was found with fingernails measuring approximately one inch long and jagged edges, with brown substances accumulated underneath.

During testing on July 9, 2024, inspectors measured food temperatures on the last meal cart delivered to residents.

These violations represented fundamental failures to protect residents from medication errors and potential harm.

This modification was in place for multiple residents and had been standard practice at the facility for years.

The resident, identified in the report as R2, was last observed by medication staff at approximately 3:00 PM.

These residents required enhanced barrier precautions due to their indwelling medical devices, which significantly increase infection risk.

The bag contained no labeling indicating the medication type, opening date, expiration date, or intended recipient.

## Pressure Injury Care Falls Short of Standards Inspectors identified systemic failures in pressure injury prevention and treatment affecting six residents.