Nursing Home News — Page 671

The June 8 incident at New Vista Post-Acute Care Center involved two residents and cleaning tools from an unattended housekeeping cart.

Federal inspectors found staff at Choctaw Residential Center repeatedly ignored orders requiring hand rolls be applied to Resident #74 three times daily.

Three days later, they watched as a registered nurse entered the resident's room and found the equipment delivering three liters per minute.

The cook assembled cookies, milk and thickener without measuring, then poured the runny mixture into dessert bowls.

Resident 4 was admitted on August 31, 2024, with diagnoses including traumatic subarachnoid hemorrhage, acute respiratory failure, and difficulty swallowing.

Hospital staff specifically warned the nursing home's social services team about the unauthorized removal attempt in October 2024.

The Minimum Data Set nurse who conducted the assessment acknowledged the error during interviews with inspectors on May 4.

The 43-bed Tabor Manor Care Center has struggled with a failing call light system since mid-December, federal inspectors found during a February visit.

A second resident watched the whole thing happen.

When the family member arrived at the facility and walked past staff in the hallway, they found the resident needed to be changed and required a new gown.

The physician ordered 20 repetitions, three sets each, five days per week.

When the nursing assistant tried again to put the sock on, the resident screamed and pulled her left leg away, telling the assistant not to touch her leg.