Nursing Home News — Page 683

Federal inspectors discovered the lapse during a complaint inspection completed August 14, 2025.

The resident, identified in inspection records only as Resident 1, lost at least $200 across two shopping trips in April 2025.

The current director of nursing suspended the aide on August 14 after learning about the inappropriate transfer during the state inspection.

The surgical center called back the next day to say the resident couldn't use the facility's van transportation after his procedure.

The inspection, completed August 14, 2025, stemmed from a complaint investigation.

The resident, identified in inspection records only as Resident 1, had already fallen once before, on July 3, 2025, inside their room.

The resident, identified in inspection records only as Resident 99, rated her pain a 9 out of 10 during wound care.

One resident confirmed "there were flies in the room all the time" when inspectors visited on August 14.

The elopement lasted until August 8 at 2:20 PM, when the immediate jeopardy period ended after the facility implemented emergency corrections.

Resident 5 went without toilet, bladder or bowel assistance on 19 separate shifts during July alone.

Immediate jeopardy citations require nursing homes to take swift corrective action to remove the threat to resident safety.

RN #46, who wrote the resident's admission note on October 3, 2024, told inspectors during an August 13 interview that she didn't remember the resident at all.