Nursing Home News — Page 650

One resident's mattress was set to the wrong pressure level for months.

The violations occurred during both lunch service on January 15 and breakfast service on January 16.

Bear Creek Senior Living blocked the return of Resident #1 in January following her fourth hospitalization in six months.

The final rinse cycle operated correctly at 180 degrees.

The vulnerable resident was admitted following hospitalization for altered mental status.

Licensed Practical Nurse #3 witnessed the entire assault on Resident #905 at Willowbrooke CT Skilled Care Center at Bayleigh Chase.

The woodworking accidents occurred repeatedly over eight months despite a safety plan that required staff supervision when the resident used power tools.

But that wasn't what the menu actually called for.

The facility's performance improvement plan, launched in August 2024, had seen accuracy rates fluctuate between 90 and 96.3 percent through February 2025.

The July 4 inspection revealed systematic breakdowns across multiple departments at the 119-bed facility.

Resident 1 was readmitted to Bayshire Torrey Pines Post-Acute on February 1 with a history of cerebral infarction and moderate cognitive deficits.

But pharmacy records showed the medication wasn't delivered until January 22 at 11:15 p.m.