Nursing Home News — Page 928

Federal inspectors observed nursing staff using the same glucose meter on multiple diabetic residents without proper disinfection between uses.

When questioned, the registered nurse stated they believed gowns were unnecessary since they weren't physically touching the patient.

The resident, identified as R15, had been admitted to the facility following a previous stroke and was diagnosed with severe cognitive impairment.

However, facility staff failed to follow these protocols.

Multiple residents reported waiting **30 minutes to over an hour** for their call lights to be answered, creating serious health and safety risks.

The violations affected staff across multiple departments, including certified nursing aides, housekeeping, and maintenance personnel.

A resident with dementia and other serious conditions had previously signed a Do Not Resuscitate (DNR) order requesting no CPR.

One particularly concerning case involved a resident who wandered into another resident's bedroom unsupervised on March 14, 2025.

However, the facility's care plan, initiated February 24, 2025, contained no documentation of the resident's need for or use of these mobility aids.

On October 3, 2024, nursing staff discovered maggots in the resident's right heel wound during a routine dressing change.

State inspectors found that kitchen staff routinely deviated from established recipes without proper authorization or documentation.

This regulation serves as a cornerstone of resident safety in long-term care facilities.