Hospital records confirmed the resident sustained a left eyebrow laceration from the unwitnessed fall and required sutures.
Nursing Home News — Page 616
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The dietitian specifically recommended continuous feeding at 45 ml per hour of Diabetisource AC nutritional formula.
The resident died at an area hospital after experiencing dangerously low blood sugar levels of 27 mg/dL (normal range is 70-100 mg/dL).
Documentation review revealed alarming patterns of missing bowel movement records.
This recurring citation indicates a persistent compliance issue that the facility has failed to adequately address over more than a year.
This violation received an F-level citation, indicating widespread systemic issues with potential for more than minimal harm to residents.
Yellow dried material consistent with urine was visible on the broken toilet seat, which hung sideways from the fixture.
This practice affected multiple vulnerable residents, including those with severe cognitive impairment, mobility limitations, and histories of falls.
The resident, who had a below-knee amputation and used a wheelchair, left the facility during a day when temperatures reached 95 degrees Fahrenheit.
This delay in medical notification prevented timely interventions that could prevent minor issues from escalating into serious medical emergencies.
The resident, identified as R8, was discovered on December 22, 2024, in a compromised position after attempting to get out of bed.
The facility's response to this incident initially created additional compliance issues.