Nursing Home News — Page 664

Instead, licensed nurses and a unit manager provided wound care while wearing only gloves.

The most serious gap involved Resident 4, who had a bottom left wisdom tooth and adjacent tooth extracted on January 23.

The resident's physician ordered tube feeding at 55 milliliters per hour, delivering 1,100 milliliters over 24 hours through a feeding pump machine.

The Centers for Disease Control requires nursing homes to store hot water above 140 degrees Fahrenheit to prevent Legionella growth.

Federal inspectors found the facility failed to protect the resident from abuse and delayed reporting the incident to state authorities.

During a March inspection, federal surveyors found that maintenance director F was only monitoring one resident's bed rails monthly for safety.

Resident #55 had moderately impaired cognition and required substantial assistance with mobility.

Staff left IV catheters in residents for weeks after treatment ended, administered medications incorrectly, and failed to provide proper denture care.

State inspectors found the facility failed to complete accurate mental health screenings for three of five residents reviewed during a March inspection.

The violations put all 21 residents on the unit at potential risk for infection transmission.

Federal inspectors discovered the unauthorized restraint use during a June inspection of the facility on Rowena Avenue.

The facility's own policy required licensed nurses to chart the drug, time administered and their initials with each medication administration.