Nursing Home News — Page 864

"Her laboratory tests were not drawn," she explained during an April 24 interview.

The medication error forced the resident into a week-long hospital stay for emergency intravenous steroid treatment to prevent organ rejection.

Water pooled on the floor below both residents' beds in the shared room.

The three-day delay at Franciscan Woods violated the facility's own policies and left the resident without proper treatment orders for her reopened wound.

The March inspection followed a complaint and revealed systemic failures in nursing staff levels that put resident safety at risk.

Cheviot Hills Post Acute took in a patient with obstructive sleep apnea and obesity hypoventilation syndrome who required a BiPAP breathing machine.

Nursing Assistant #2, hired on August 10, 2023, had received only IV therapy education during the entire period from hire through the February inspection.

The dietary manager acknowledged the problems when confronted by inspectors on July 22.

The Treatment Administration Record showed the suprapubic site was dressed daily, with Treatment Nurse 1 signing off on July 16 and 17.

She got help with six transfers but found no one available for the seventh.

Federal inspectors observed the May 28 incident at Colonial Nursing and Rehabilitation Center during wound care for Resident #11's left great toe.

The discovery on January 9 exposed a pattern of neglect that extended far beyond one resident's room.