Nursing Home News — Page 874

Inspectors classified this as a Category D violation - meaning while no actual harm occurred to residents, there was **potential for more than minimal harm**.

The inspection report, dated January 29, 2026, reveals a facility scrambling to contain damage from staff misconduct.

The woman's gross monthly income was $1,159.22, according to her Medicaid eligibility records.

The error involved a resident identified in inspection records as R71.

Inspectors documented a **pattern of deficiencies** affecting multiple residents, though no immediate physical harm was observed.

The oversight left contradictory instructions in the resident's file for months.

These citations require facilities to implement immediate corrective actions to remove the jeopardy situation.

The infection control violation occurred during care of a resident with a suprapubic catheter.

Resident 85 arrived at the facility on December 16, 2025, with multiple serious conditions.

A new antibiotic had been started.

The resident at the center of the incident, identified in inspection records only as Resident 1, was admitted to the Fortuna facility in October 2025.

The resident already had a history of gangrene on her left pointer finger.