Nursing Home News — Page 916

Federal inspectors found the facility had no policy governing this arrangement.

The facility's own administrator acknowledged the gap.

But Adult Protective Services and the state Ombudsman weren't contacted until December 16 at 6:30 p.m.

The behaviors started after a provider discontinued the resident's medications in late November 2025.

By then, the damage was already showing.

observation, two CNAs prepared to move Resident #2 from bed to wheelchair using a Hoyer lift.

Federal inspectors documented both failures during a complaint inspection completed December 31, 2025.

The first elopement occurred July 26 when a resident left the facility around 7:30 p.m.

Inspectors found that drugs and biologicals used at the facility were not labeled according to currently accepted professional principles.

The assault followed a verbal altercation earlier that day when the victim saw the other resident on his unit speaking with a staff member after lunch.

The incident happened on December 1.

Accurate resident assessments form the foundation of all nursing home care planning.