Nursing Home News — Page 906

The incident at Pulaski Health & Rehab Center involved a resident with severe cognitive impairment who scored just 3 out of 15 on a mental status evaluation.

The incident at Harborview Post Acute exposed a cascade of delayed care that federal inspectors found violated basic medical standards.

The facility has **not submitted a plan of correction**.

The shredding continued until the facility's administrator finally told her to stop in October.

The inspection was not routine.

The resident, identified in inspection records as R9, had just arrived from the hospital and was reporting pain at a 9 out of 10.

Federal inspectors witnessed the December 17 incident at Shady Grove Nursing and Rehabilitation Center during a complaint investigation.

The facility's own correction plan tells the story of how far behind things had gotten.

The December 22 inspection at Haven of Flagstaff revealed controlled substance diversion involving two residents.

The milk registered 54 degrees Fahrenheit.

Inspectors reviewed falls at the facility to determine whether any had resulted from staff failing to implement what the care plans specified.

The citation, classified as having minimal harm or potential for actual harm, affected a small number of residents.