Administrative staff confirmed they expected nurses to follow these basic safety protocols.
Nursing Home News — Page 655
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Resident 53 had been readmitted to Dreier's Nursing Care Center in May after a fall at the facility led to hospitalization for altered mental status.
Each time he removed dirty gloves and put on clean ones, he skipped the required hand hygiene step.
The 87-year-old with severe Alzheimer's disease left the facility at 1:35 PM on June 14 after nurses discovered the medical emergency at 1:05 PM.
The violation at St Vincent's - A Prospera Community illustrates how basic infection control failures can put vulnerable residents at risk.
Federal inspectors determined the pattern created immediate jeopardy to resident safety.
The resident had acute respiratory failure, a tracheostomy, and was at high risk for falls.
The resident's family member called the facility in June 2024, concerned about developing contractures in hands and legs.
Seven days later, the same two residents argued again on the patio about personal space.
Multiple cigarette butts lay in brown, brittle grass around the facility sign, along the driveway fence, and under a facility window.
The failures at Olympic View Post Acute put Resident 127 at risk during treatment for pneumonia and sepsis, a potentially fatal blood infection.
Despite this total dependence on staff, inspectors found the person's fingernails had grown about three-quarters of an inch beyond their fingertips.