Federal inspectors conducting a complaint investigation on September 8 discovered multiple breakdowns in basic kitchen sanitation.
Nursing Home News — Page 735
All Stories
Federal inspectors observed Resident #07 on September 2nd at 9:50 A.M.
The medications included antidepressants mirtazapine and escitalopram that Resident #1 had been taking before entering the hospital.
Activities Assistant 1 watched the entire incident unfold on August 13.
On that August morning, his frustration boiled over.
The facility's Assessment Coordinator confirmed the violations during a 2:54 a.m.
CNA 1 admitted during a September 9 interview that she had no explanation for omitting precise urine measurements on August 15.
Records showed the nursing assistant's training schedule was based on an August anniversary date, meaning annual completion was required each August.
The facility received its third F842 citation in 10 months for problems with resident records and accuracy of documentation.
The facility's own abuse coordinator acknowledged that staff should have reported the allegations within two hours, as required by federal law.
The resident's medication administration record at Valley Oaks indicated drugs were given on both dates.
Resident 1 had been admitted with a fractured vertebra, paraplegia, and urinary retention.