Nursing Home News — Page 670

When she acted out or withdrew, she said, staff thought she was being difficult for no reason.

The violations put residents at risk of dangerously low blood pressure that could lead to falls, fainting, or worse complications.

The facility's own tracking document showed 31 falls in January alone, followed by 11 more falls in the first 12 days of February.

Federal inspectors found the medication error so severe it posed immediate danger to resident health and safety.

The facility's infection control logs showed no record of reviewing any of these treatments, despite written policies requiring such oversight.

The immediate jeopardy citation affected "many" residents, according to the inspection report.

Resident #12 told inspectors his roommate's air conditioning hadn't worked in months.

Licensed Practical Nurse #10 hears the call bell ringing somewhere on the third floor, but she has no idea which resident needs help.

When Licensed Nurse 3 arrived at 3 AM to help, she found medications that were due at midnight still hadn't been given to residents.

Federal inspectors found the facility violated pain management requirements by failing to properly assess and treat the resident after her fall.

Hot foods must be kept above 140 degrees Fahrenheit to prevent bacterial growth, while cold foods require temperatures below 41 degrees.

The resident, identified as R1 in inspection records, was under state guardianship and deemed "wholly disabled" to manage personal and financial affairs.