Nursing Home News — Page 818

Instead, nurses working from an incomplete fax never entered the medication into the system.

She told inspectors during a November 18 interview that she realized the error after the wrong medication had been infusing for less than five minutes.

The resident told inspectors on September 29, 2025 that staff had been withholding her medication because her blood pressure was low.

Then comparing those requirements against the actual food delivered.

Enhanced barrier precautions are implemented for residents at higher risk of infection transmission.

Federal inspectors observed the violation during a complaint investigation at the 58-bed facility.

The violation was classified as immediate jeopardy to resident health or safety, the most serious category of nursing home deficiency.

The incident occurred at Wright Rehabilitation and Healthcare Center on November 11, when Resident #10 complained of being cold during the evening smoke break.

Resident #78 refused the bed bath and specifically requested a shower.

The violation prompted emergency response protocols when CNA A requested assistance during the incident involving Resident #1.

The incident came to light during a family visit on July 20, 2025, when the resident was found crying and holding another family member's hand.

The problem occurred when previous assessments weren't completed — the system would simply stop generating new ones until the backlog was cleared.