The resident had a deep wound reaching muscles, ligament and bone that required specialized care.
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The individual was transported to the hospital emergency department for evaluation and returned to the facility five days later.
According to inspection findings, residents consistently experienced long delays when requesting assistance with fundamental daily care needs.
The violations centered on inadequate documentation of insulin administration for a resident with both diabetes and Parkinson's disease.
This created a dangerous scenario where, in the event of cardiac arrest, emergency responders would have conflicting information about the resident's wishes.
The nurse administered 4% lidocaine patches instead of the prescribed 5% strength to a resident requiring pain relief for both shoulders.
Emergency Medical Services transported the resident to the hospital at 7:25 am.
## Medication Storage and Labeling Failures Inspectors found serious medication management violations across multiple areas of the facility.
However, conflicting accounts emerged during the investigation that raised serious concerns about the circumstances of the injury.
When facility staff assessed the resident, they found no pulse or respirations and immediately began cardiopulmonary resuscitation.
The keys were also left unattended on the medication cart while a corporate nurse conducted routine checks for expired and unlabeled medications.
Snellville facility administered incorrect oxygen levels and failed to maintain clean equipment filters, putting residents at serious respiratory risk.