Nursing Home News — Page 914

The resident, identified as R1 in inspection records, was admitted with diabetes, acute and chronic respiratory failure, and a tracheostomy.

The citation was tagged at Immediate Jeopardy, the most serious level of harm federal inspectors can assign.

She had watched members file complaint after complaint at their monthly meetings.

The certified nursing assistant assigned to Resident #3 approached the nursing desk and reported the person was missing from their room.

The resident required the special precautions due to an ileostomy, open surgical wound, and open pressure ulcers.

But the Administrator made clear that justification was irrelevant.

Resident 8 told inspectors on December 18 that staff covered the stoma with a brief and other pads when no colostomy bag was available.

During a December 29 kitchen inspection, surveyors found disposable utensils, plates and cups sitting directly on the floor.

The facility's own care plans required two staff members to help Resident 5 with bed mobility after the patient was placed on an air mattress in October.

The facility trained staff on abuse and neglect regularly, the DON said.

That finding emerged from a complaint inspection conducted December 30, 2025, at the 53-bed nursing facility.

Inspectors classified the violation as isolated but noted potential for more than minimal harm to residents.