Nursing Home News — Page 668

The resident had been taking 625 milligrams of the drug three times daily since January 2023.

Immediate jeopardy citations are reserved for the most dangerous situations in nursing homes.

The March inspection revealed the facility's reliance on outdated procedures for handling one of the most serious safety concerns in nursing home care.

The March 25 attack was the third violent incident involving Resident #3 in four months.

The facility's Program Director learned of the alleged assault on April 8 — when inspectors informed her during their visit.

When the assistant tested the call button herself, nothing happened.

Federal inspectors reviewing personnel records in March found systematic training failures affecting more than half of sampled staff members.

Only after dressing the resident did she remove the contaminated gloves and perform hand hygiene.

The resident, identified as R160, scored one out of 15 on a mental status exam, indicating severe cognitive impairment from dementia and Alzheimer's disease.

The scene at Elroy Health Services in February revealed a breakdown in infection control that state inspectors found affected all 68 residents.

The resident sustained redness to her cheek from a March 20 fall and facial discoloration, eye swelling, and hand injuries from an April 9 fall.

The privacy violation was one of two serious lapses documented during the complaint investigation at the 1516 Sawtelle Boulevard facility.