The resident, identified as R2 in inspection documents, has both legs amputated below the knee and uses prosthetics.
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The record covered August 3 through August 20, but showed no documentation for doses that should have been given on August 21 at 9 am and 1 pm.
Not a single phone rang audibly at its destination.
But the strip showed the dishwasher wasn't reaching the 180-degree temperature required to kill bacteria and prevent cross contamination.
Resident 1 told staff on April 28 that Resident 2 had touched her inappropriately.
The confrontation occurred on August 13 during evening medication rounds at Mineral Point Health Services.
The MDS coordinator, who discovered the problem during her review of Resident #1's case, told inspectors during a 4:40 pm interview that accuracy was critical.
The confrontation at Creekside Health and Rehabilitation Center occurred while federal inspectors were investigating a complaint about dignity violations.
She needed help getting to showers, but the facility's shower room was constantly occupied.
The resident, identified as R #5, had been discharged from a hospital on June 7 with clear "Do Not Resuscitate" instructions.
RN 2 could not recall whether Resident 1 received any pain medication, regular or narcotic.
The resident scored a 2 on cognitive testing, indicating severe impairment, and required setup assistance for oral hygiene.