Nursing Home News — Page 793

Federal inspectors found the medication errors at Aventura at Carriage Inn during an October 30 complaint investigation.

The October 9th fall at Kingston of Ashland happened at approximately 5:57 P.M.

The discovery occurred during routine cleaning of Resident 82's room at Embassy of Newark.

Resident #2 lay in a recliner in the activities room when inspectors arrived in October.

But CNA #1 worked until 11:00 PM that night, continuing to provide direct patient care throughout the facility.

"Well [Resident #1] is combative with care," Director of Nursing told federal inspectors on October 30.

The woman had a silver dollar-sized ruptured blister on her left heel with an open area measuring approximately one-eighth inch by one-quarter inch.

When they arrived at the nursing home on August 12, the thin, flexible tube was already in place to deliver nutrition and medications.

State inspectors discovered the medication lapses during an October 30 complaint investigation.

The incident at Accura Healthcare of Cherokee came to light when the resident's daughter complained to administrators in late October.

The patient cannot speak and has difficulty swallowing, requiring more than half his daily nutrition through a surgically implanted feeding tube.

The neurologist's summary contained conflicting information that confused nursing staff about the correct dosing.