Nursing Home News — Page 871

Federal inspectors documented response times that stretched far beyond what the facility's own administrator considered acceptable.

The crisis began when water samples taken in late 2024 revealed Legionella bacteria in seven of 10 locations throughout the building.

The compression system is designed for venous leg ulcers and lymphedema, not diabetic wounds.

The nurse later admitted she called out the roommate's name and gave the medications to the wrong woman when she responded.

## Widespread Food Safety Deficiencies Documented The January 29, 2026 inspection revealed systematic problems with the facility's food handling operations.

The resident, identified in inspection records as R17, had been admitted to the facility multiple times, with readmissions in January and March of 2025.

The resident, identified in inspection records only as R202, was admitted to the facility in September 2025.

He told inspectors he had survived sepsis from a catheter infection in the past and, more recently, had experienced painful swelling in his groin.

The man, identified in inspection records as R62, was cognitively intact, scoring a perfect 15 out of 15 on a mental status assessment.

She told inspectors she had no copy of the previous administrator's assessment either.

The resident, identified in inspection records as Resident 300, was a documented fall risk.

The patient required two powerful IV antibiotics to fight his severe infections.