Nursing Home News — Page 7

He was fully cognitively intact, scoring a perfect 15 on the facility's cognition assessment.

A resident at Hillcrest Commons Nursing & Rehabilitation Center bit into a custard dessert at lunch and immediately knew something was wrong.

Whether two staff were present during that examination is not addressed anywhere in the inspection report.

The nurse already knew it was wrong.

The inspection, conducted March 20, 2025, documented what happened when Resident 8 asked for a diet change.

The same thing had happened to at least one other Medicare-covered resident around the same time.

The number 720 referred to the total amount of fluid a resident was permitted to receive from dietary services for the entire day.

The state long-term care ombudsman, whose role is to advocate for nursing home residents, was not notified either.

No assessment had been done to justify placing them on the secured memory care unit.

The facility's own written policy described exactly what was supposed to happen.

The second resident's situation was more complicated and, in some ways, more troubling.

An inspector visited the room on the morning of March 17, 2025, with LVN 2 present at Resident 695's side.