Nursing Home News — Page 832

The facility's own dietary manager acknowledged the violation could lead to cross-contamination and pest control problems.

Patient 1 had been admitted in September with Type 2 diabetes and was identified as an elopement risk from day one.

The woman, identified in the inspection report as a family friend of the resident, discovered the confused man around 8:30 a.m.

Federal inspectors found Estates at Shavano Park operating without a policy for assessing nurse competencies during a complaint investigation in November.

The Social Worker acknowledged during an October 28 interview that she had addressed the family's previous concern about the call light placement.

The staffing shortage created a cascade of care failures.

Resident 1 had been admitted to the facility after experiencing falls.

The falsified documentation at Lutheran Home came to light when an outside infusion clinic contacted facility administrators.

The missed 6 AM dose was never mentioned during shift report, the nurse told inspectors.

But staff were following incomplete orders anyway.

The resident had intact cognition with a score of 15 on cognitive testing.

The facility's director of nursing pulled the complete staff list and found no employee assigned those initials.