Nursing Home News — Page 847

from a hemorrhage at her AV fistula site — the surgically created connection between an artery and vein that allows dialysis patients to receive treatment.

On December 15, Resident 1's blood pressure measured 108/62 with a heart rate of 78.

The facility failed to ensure nursing assistants had the skills and competency to safely handle residents during bed mobility and turning procedures.

Resident #1 had been hospitalized and was recommended to follow up with a gastroenterologist based on their ongoing constipation issues.

Certified Nursing Assistant J responded to a code in Resident #21's room on December 22 and found Resident #22 on top of the victim.

The medication error at Continuing Care at Lantern Hill involved residents receiving each other's IV antibiotic treatments.

LVN A admitted during questioning that he had missed the hand washing step entirely during wound care treatment.

Federal inspectors discovered the facility failed to notify the Texas state agency responsible for licensing when it changed administrators in March 2023.

Facility policy required the fall coordinator to investigate each incident and revise the resident's care plan with new interventions based on the root cause.

The violation centered on Resident #1, who required enhanced barrier precautions due to an infectious condition.

Federal inspectors discovered the abandoned cart at Lone Star Ranch Rehabilitation and Healthcare Center on December 29 at 8:19 AM.

The nurse's progress notes stated: "Respiratory: Difficulty breathing noted.