When inspectors questioned nurses about the missing orders, staff admitted they weren't sure if orders were needed.
Nursing Home News — Page 836
All Stories
The resident stayed outside until 1 AM on October 8, repeatedly telling staff he was "enjoying the fresh air" and wasn't ready to come inside.
Medication Aide G parked the Station A cart close to both the TV room and dining area at 9:52 a.m.
The November 25 discovery at Parklane West Healthcare Center revealed a fundamental breakdown in medication security.
The attack occurred on October 8 between two residents at Lone Star Ranch Rehabilitation and Healthcare Center.
The social worker and MDS coordinator told inspectors during a joint interview that they "should have" updated the care plan earlier.
Federal inspectors observed the violation during a complaint investigation.
The patient also has atrial fibrillation, COPD, and high blood pressure.
The resident, identified only as a woman in her 80s, was supposed to receive showers on Tuesday, Thursday and Saturday evenings according to her care plan.
A hospice aide discovered the wound without its protective bandage during morning care around 9:00 AM.
Federal inspectors found a pattern of basic hygiene failures during a November complaint investigation.
The violation represents continued non-compliance from an October 15 survey at the facility.