Nursing Home News — Page 852

The assistant director of nursing, identified in inspection records only as ADON A, was suspended the day before inspectors completed their review.

Federal inspectors discovered the violation on December 30 during a complaint investigation.

Her pineapple allergy was clearly documented in her ongoing plan of care from October 3, 2024, and noted on her meal ticket.

Resident 9 tested positive for COVID on December 20 and again on December 29, yet remained roommates with Resident 10, who tested negative.

The man, identified in inspection records only as Resident #1, was in his sixties and had been admitted to the facility the previous December.

When a state inspector arrived on January 29, the Dietary Manager sat down with a test tray at 12:30 in the afternoon and demonstrated the problem herself.

The omission came to light during a complaint inspection on January 29, 2026.

On the day of admission, staff recorded a Stage II pressure ulcer on the resident's coccyx, measuring one centimeter by 0.3 centimeters.

Inspectors visited the facility on January 27, 2026, and checked both of its shower rooms.

The January 29 inspection, triggered by a complaint, found that staff failed to clarify physician orders for a resident identified in records as Resident 5.

Resident 54 is a woman with cerebral palsy, severe malnutrition, and a nasogastric feeding tube that delivers nutrition directly into her stomach.

The resident, identified in inspection records only as Resident 2, said she had told staff about the gnats repeatedly.