Nursing Home News — Page 796

The resident's spouse discovered the problem after the regular meal period had ended.

Staff B, a registered nurse at Southeast Iowa Regional Medical - Klein Center, found the resident on the bathroom floor.

The resident's medical record, known as a Kardex, clearly indicated she needed two-person assistance for all transfers using mechanical equipment.

The problems began on August 5 when staff discovered a stage 2 pressure injury in the resident's gluteal cleft.

The October 9 accident at The Meadows left the resident bleeding profusely from their forehead while still attached to the Hoyer lift sling.

The November incident at Buena Park Nursing Center exposed a basic breakdown in patient safety protocols.

Staff also failed to check her blood pressure that day, leaving blank entries on her medication administration record.

The resident had undergone a breast biopsy that left her with a surgical incision.

on January 18, 2024, after choking in their room.

The bedpan was typically stored in the bathroom when not in use.

At 8:52 p.m., Pharmacy 1 delivered seven vials of amphotericin B 50 mg along with dextrose solution to RN 3.

According to witness statements obtained by inspectors, the staff raised the bed to hip level and used physical restraint when the resident became combative.