Nursing Home News — Page 739

Staff interviews revealed confusion about basic pressure sore prevention protocols.

One mature roach sat on the door frame leading to the janitorial closet.

Yet certified nursing aides repeatedly failed to document this critical care across a two-week period in August.

The resident had fallen at Robison Jewish Health Center on August 23 while attempting to transfer to the restroom without assistance.

The 71-bed facility had no physician's order allowing the resident to self-administer medications or keep them at bedside.

Resident #1 arrived at Brookdale Trinity Towers after a fall that caused a fracture requiring surgical intervention.

The resident had an unstageable pressure injury, placing him in the high-risk category under the facility's Enhanced Barrier Precautions policy.

The resident representative filed a grievance on July 24 after discovering the woman's glasses were missing.

The facility's response included a comprehensive search protocol and same-day staff training on multiple security measures.

The facility's own nursing schedules documented the gaps in coverage.

The September 9 incident at ALS Woodstock involved a resident with multiple medical conditions including diabetes, heart disease and a right leg amputation.

The resident had moderate cognitive impairment and was prescribed morphine for pain and restlessness.