Nursing Home News — Page 745

The resident, identified only as Resident 1 in inspection records, was transferred to GACH hospital on September 2nd.

State inspectors observed the violation at Avir at Borger on August 26, 2025, during a complaint investigation.

The resident, admitted with chronic pain syndrome and rheumatoid arthritis, had two clear physician orders that went unfulfilled.

The facility's infection control breakdown came to light during a September 11 complaint investigation.

Sign-in sheets from meetings on March 11, April 8, July 8, and August 12 showed no signature from the infection control expert.

In resident R1's room, the thermostat displayed no temperature readings.

The delay violated federal regulations requiring nursing homes to report suspected misappropriation within two hours.

The September 4 incident involving Resident 2 occurred during the 7 p.m.

Federal inspectors found the facility failed to follow basic safety protocols that could have prevented the injury.

The September 12 inspection revealed multiple meal service failures affecting residents' food preferences and medical nutrition requirements.

Federal inspectors found that staff skipped required residual volume checks for at least four residents with gastrostomy tubes in September 2025.

Federal inspectors classified the violations as immediate jeopardy, meaning they posed an immediate threat to resident health or safety.