Nursing Home News — Page 750

Both residents had documented histories of falls and cognitive impairment.

The recommendation never made it into the resident's care plan.

The woman fell from her bed at Las Cruces Village Nursing & Rehabilitation at 12:50 AM on June 15, 2025.

Resident 17 was admitted to the facility with physician orders for antibiotic IVs.

The incident came to light when Resident #1's family member visited and told her what they had observed on camera.

The resident had expected to go to a licensed board and care facility where he would receive help with daily activities and medication management.

The resident spilled warm tea on her lap while eating lunch.

When inspectors interviewed him at 10:50 AM, the resident stated he would like his nails to be cleaned and trimmed.

The immediate jeopardy citation was identified on September 12, 2025, during a complaint inspection.

The resident had documented memory problems that rendered him incapable of consenting to be photographed.

The October 2023 incident at Four Seasons Healthcare & Wellness Center revealed how communication breakdowns can delay critical medical care.

The physician had been clear in orders dated June 3rd: call for blood sugar readings below 70 or above 400.