Nursing Home News — Page 881

The nurse said she would have to throw the insulin away.

His immunization record contained no documentation that he had been offered the shot, received it, or signed a form declining it.

While no residents were actually harmed, inspectors determined there was potential for more than minimal harm to occur due to these safety lapses.

On November 28, 2025, a nurse recorded the wound at 1.42 square centimeters.

On December 20, 2025, a bladder scan showed he was holding 855 milliliters of urine.

The resident, identified only as Resident N, was on Enhanced Barrier Protocol, a heightened infection precaution status tied directly to the tracheostomy.

The resident, identified in inspection records as Resident B, had confusion and a documented pattern of pressing her call light frequently.

The nurse turned back to work on the resident's gastric tube and then looked up.

When questioned, the Social Service Director acknowledged they should have worn hairnets before entering the kitchen workspace.

Inspectors classified the lapse as actual harm affecting a small number of residents.

Her stage 4 sacral wound and stage 4 left ischium wound were visible.

Inspectors observed the two residents, identified in federal records as R15 and R16, sitting in geri-chairs in the dining room at 1:29 p.m.