Nursing Home News — Page 966

The BIMS scale ranges from 0-15, with lower scores indicating greater cognitive decline.

## Inconsistent Cleaning Schedules Documented The inspection revealed significant gaps between the facility's written policies and actual cleaning practices.

When questioned, the nurses acknowledged they should have worn proper PPE to prevent infection spread.

**Incontinence care** represents a critical aspect of nursing home care that directly impacts resident dignity and health.

The facility's QAPI committee, responsible for monitoring and improving care quality, failed to maintain effective systems for ensuring regulatory compliance.

## Cold Food Service Prompts Resident Complaints The inspection began after multiple residents complained about food quality.

## Freezer Contamination Risks Documented During a March 27, 2025 inspection, surveyors found significant ice buildup in the facility's food storage freezer.

## Dangerous Fall Pattern Emerges The most serious incident involved Resident #114, who experienced five separate falls over four days in early January.

The Director of Nursing revealed the infection preventionist had been on leave since January 10, 2025 due to nursing license issues.

The facility was cited for failing to ensure proper infection control practices during medication administration.

The resident remained unassisted until 2:14 PM when a certified nursing assistant finally entered the room.

On January 30, 2025, a resident being transported to a pain management appointment fell from his wheelchair to the floor of the transport van.