The resident asked for her pain medication schedule to be changed from every six hours to every four hours on November 12.
Nursing Home News — Page 805
All Stories
CNA 1 told inspectors they routinely placed pillows under the fitted sheet to prevent falls when Resident 2 attempted to get out of bed unassisted.
Ocean Pointe Healthcare Center cut Resident 1's daily Donepezil dose from 15 milligrams to 10 milligrams on December 12, 2024.
The breakdown in wound monitoring at Advanced Rehab Center of Tustin came to light during a November 13 federal inspection triggered by a complaint.
Licensed Nurse J found the exposed metal hardware during a wound evaluation on September 3.
The facility had placed Resident #1 on droplet precautions after a recent COVID-19 diagnosis.
The administrator, who has worked at the facility for 11 months, said nursing staff are responsible for medication audits.
The facility's own policy required immediate notification of families when residents experience "significant changes" including death.
The November 14 inspection followed a complaint about restraint use at the 91732 Buffington Road facility.
The incident occurred on September 9, 2025, at Colonial Gardens Nursing Home when Resident 5 told Licensed Vocational Nurse 11 that someone had hit him.
Daily weights are essential for heart failure patients because sudden weight gain signals dangerous fluid buildup that can lead to hospitalization or death.
The resident had completed a POLST form electing "do not attempt resuscitation" status.