Nursing Home News — Page 837

Resident #1 died at Optalis Health and Rehabilitation at St.

The facility ultimately treated 29 residents and 15 staff members for scabies.

The incident at Pasadena Nursing Center on November 25, 2025, exposed a breakdown in the facility's abuse reporting procedures.

The resident, identified as Resident #10 in inspection records, told investigators she had no idea the picture was being taken.

Neither checked that the bed wheels were secured before beginning the care.

The violations occurred despite facility policies requiring medications to remain accessible only to licensed nursing personnel and authorized staff members.

Yet when inspectors observed daily operations, they witnessed staff walking directly into the resident's room without following these procedures.

Federal inspectors discovered the omission during a complaint investigation in late October.

Resident 92 experienced severe foot pain on April 23, prompting staff at Arbors at Delaware to call the physician and request an emergency room transfer.

Instead, the resident missed seven consecutive doses between November 14 and November 17, according to federal inspection records.

Federal inspectors found the documentation failure at New Orange Hills during a complaint investigation in late November.

The incident at Avir at Beeville involved two residents, identified in the inspection report as R3 and R4.