Nursing Home News — Page 760

The September 13 incident exposed multiple safety failures at the 56-bed facility.

Resident 4 sat in the dining room on September 19, eating lunch without his dentures.

The nursing director's lapse occurred during wound care for a resident admitted with multiple conditions including a stage 3 pressure ulcer.

The resident, identified in inspection documents as Resident 1, had been flagged for elopement risk and wandering behavior.

But the facility never entered the tube feeding orders into the resident's medical record.

The lapse in life-saving training stretched back more than a year in the worst case.

The registered nurse stood by her medication cart on September 19, a few rooms away from Resident 3, when inspectors found her at 1:12 p.m.

Resident #3 fell on August 16 at Mayfair Village Nursing Care Center and was taken to the emergency room with left hip pain.

The facility's own policies require written notification and consent before any room changes.

One resident fell on August 26 and was sent to the hospital for evaluation and treatment.

The incident at Fleshers Fairview Health Care went unreported for hours.

The neglect left residents at risk for poor hygiene, diminished self-worth, and other negative health outcomes.