Nursing Home News — Page 744

The resident, who also suffered from anxiety disorder and failure to thrive, sustained two skin tears to her right knee during the June 17 incident.

The August incident involved Resident 4, whose cognition was moderately impaired according to facility assessments.

The September inspection found Resident 4 awake, fidgeting and visibly uncomfortable at 11:20 p.m.

"I hate the holes in the wall there," one resident told inspectors while walking upstairs past damaged wallboard.

But the facility's own administrator admitted they failed to develop and implement proper discharge planning.

Multiple staff members witnessed her verbally abusing residents and refusing to provide care.

The facility also lost track of neurologist consultation notes from July 30, 2025, leaving staff without specialist guidance for the resident's condition.

She verified there was no dietitian documentation in February after the weight loss had been identified, and no documentation in March.

Resident 3 lived at Courtyard Care Center with anoxic brain damage caused by lack of oxygen to the brain.

The assault at Westview Healthcare Center prompted administrators to assign the aggressive resident a full-time sitter.

The September 8 incident revealed a fundamental flaw in the facility's security system.

The resident had been admitted for follow-up care after a surgical procedure, along with heart failure and dementia.