Despite these serious conditions requiring careful wound care, the patient went without prescribed bandages on both legs for at least two consecutive days.
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Resident #22 cried out repeatedly during the overnight shift on July 21, with staff administering pain medication that proved ineffective.
"They wouldn't let him use the restroom," the veteran told state inspectors during an August interview.
Resident C was discovered in medical distress at 12:39 p.m.
Resident #5 received sliding scale insulin through Humalog kwikpen injections.
The person required substantial to maximal assistance with toileting and was always incontinent of both bowel and bladder.
The citation means inspectors found conditions that posed an immediate threat to resident health or safety.
Resident 107 arrived at the facility on Thursday, August 14.
But when inspectors observed meals on August 18, 19, and 20, they found Resident 15 eating alone with another resident in the activity room.
The woman, identified as R2 in state inspection records, had a fall risk score of 19 on a scale where anything above 10 indicates high risk.
The resident, identified only as Resident 1, needed nine teeth extracted and new dentures made.
The incident occurred on August 14 when Resident 6's family member found the person lying on a draw sheet stained and saturated with urine.