Nursing Home News — Page 941

Resident 35 has severe cognitive impairment, scoring just three out of 15 points on a mental status assessment.

The inspection, completed December 1, 2025, flagged the practice under infection control standards and identified many residents as affected.

The medication errors at Dells Nursing and Rehab Center went undetected until federal inspectors arrived in late October following a complaint.

Inspectors documented the sequence during a complaint investigation completed November 25, 2025.

The citation was one of **two deficiencies** documented during the inspection.

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

The facility has not submitted a plan of correction for the cited violations.

Resident 221 was admitted with chronic respiratory failure, morbid obesity, and sleep apnea.

The facility's Director of Nursing performed the admission skin assessment and found an open area on the resident's sacrum and coccyx.

Staff discovered the assault at 8:00 p.m.

State records show the facility also faced an exploitation violation in October.

The incident occurred on October 3rd at Sunset Villa Healthcare, where the aide was helping the resident into a sitting position.