Nursing Home News — Page 838

The breakdown occurred with Resident 2, who was admitted in March 2025 with cognitive communication deficits, age-related cognitive decline, and epilepsy.

The anticoagulant thins blood, creating bleeding risks during surgery.

The November 19 incident at Rose Villa Health Care Center involved 11 different medications scheduled for 9 a.m.

Even then, the training was incomplete and poorly documented.

The violation occurred at Heritage Nursing & Rehabilitation during a November 26 inspection.

The November 28 inspection triggered the most severe federal enforcement action possible short of facility closure.

But when she found the skin irregularities on Resident #1, she made her own assessment that they didn't look suspicious.

That letter detailed behaviors that made the resident "feel upset," according to the administrator who received it.

State inspectors requested training documentation on three separate dates in December 2024 — November 30, December 1, and December 8.

The facility sent closure letters to families on September 25th and began discharging residents on October 1st.

The incident occurred at Creekside Village on September 26 when CNA A entered the resident's room at 11:30 AM to change her heavily soiled brief.

The incident occurred at Kalkaska Memorial Health Center on October 5, when Resident #3 slipped off the edge of his bed at 10:45 PM.