Nursing Home News — Page 965

No justification was documented for the significant delay in this case.

Staff A attempted the transfer alone despite **clear instructions posted inside the resident's closet door** and verbal warnings from the resident's spouse.

The contamination resulted from improper cleaning procedures that violated both manufacturer specifications and FDA Food Code requirements.

## **Repeated Nail Care Failures** The April 2025 inspection revealed troubling patterns of neglected personal hygiene across multiple residents.

The resident indicated the pain made eating difficult and sometimes left him hungry due to his inability to chew food properly.

The resident, identified as Resident #1, had exited through an emergency fire door that should have been alarmed but was found to be disarmed.

Kitchen staff interviewed during the inspection expressed uncertainty about proper food storage timelines.

## Inappropriate Contact with Sleeping Resident The incident occurred on the evening of February 7, 2025, when a resident was sleeping peacefully in his bed.

Federal inspectors identified critical supervision lapses that placed vulnerable residents at risk of serious harm.

This recurring citation pattern indicates the facility has struggled to fully correct underlying safety issues that initially triggered regulatory action.

Documentation shows the resident made sexually inappropriate comments to staff on June 8, with the behavior continuing and escalating over the following weeks.

## Complete Care Abandonment Captured on Video Surveillance footage from March revealed the shocking extent of the care abandonment at Jefferson Manor.