Resident 75 at Elan Skilled Nursing and Rehab developed a rash in August that doctors ordered tested with a skin scraping or biopsy on August 19.
Nursing Home News — Page 827
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Federal inspectors found nebulizer masks and tubing left exposed throughout Bel Air at Teravista during a November complaint investigation.
As the aide walked out of the room, the resident was heard saying "What?" but received no response or explanation for her sudden exit.
She told inspectors on November 20 that she frequently sees gnats and roaches throughout the facility despite monthly pest control services.
LVN A admitted Resident #101 on September 12, 2025, but never initiated the required baseline care plan.
The most recent assessment should have been conducted in September 2025, according to the Director of Nursing.
The immediate jeopardy citation focused on elopement prevention failures that put residents at risk of leaving the facility unsupervised.
The undocumented medications included insulin and anti-anxiety drugs given to Resident #1 on October 27 and 28 at McAllen Nursing Center.
The medication error occurred November 13 at 5:20 p.m.
The facility's own policy required a care plan within one business day.
The resident's family had expressed concerns about her increasing confusion before September 15, when staff finally ordered a urine test.
But a review of his electronic medical records from August 7 through September 22 turned up no documentation of the restraint.