Nursing Home News — Page 899

Federal inspectors reviewing 45 daily staff postings found four days where the nursing home completely omitted census numbers from all three shifts.

The facility uses a layered system to keep residents from wandering out.

The panels were lifting at the edges and ends.

The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented actual harm to residents.

Resident 101 died at the hospital after being sent from the facility for emergency evaluation.

## Why Catheter Care Standards Exist Urinary catheters are medical devices that require meticulous maintenance to prevent complications.

Person-centered care planning is a foundational principle in modern long-term care.

The facility's own bathing schedule called for showers three times weekly on Mondays, Wednesdays, and Fridays.

Earlier that morning at 2:58 AM, the facility's wound nurse, RN-F, had treated the same resident's right knee surgical incision.

The violation was tagged at the minimal harm level, meaning inspectors did not find evidence that residents suffered serious physical injury as a result.

The incident at Pine Creek Rehabilitation and Nursing began when Resident 38 learned her nursing assistant was having financial difficulties.

Federal inspectors found her violating these requirements on October 20.