Nursing Home News — Page 972

The violations occurred with **Resident 62**, who was admitted with atrial fibrillation and required Flecainide Acetate 50 mg twice daily.

The incident, which occurred on June 7, 2024, prompted an immediate investigation by facility administrators and resulted in significant disciplinary action.

Equipment maintenance failures extended to temperature control systems critical for food safety.

Despite being witnessed by another aide who reported the incident to a nurse the same day, facility administrators were not notified until July 11, 2024.

Their medical history includes diabetes mellitus and peripheral vascular disease, conditions that significantly impair healing and increase infection risk.

The Director of Nursing confirmed that the transition created significant operational challenges.

By 3:30 PM, Washer One had become completely inoperable due to malfunctioning detergent pumps.

One resident told inspectors **she routinely waits about three hours for her call light to be answered while sitting in a dirty brief**.

During the January inspection, surveyors observed the resident's contracted right hand with fingernails that were both dirty and excessively long.

## Dangerous Laundry Practices Exposed Surveyors observed laundry rooms on three separate units with no separation between clean and dirty areas.

The physician's order contained a potentially fatal error in the hold parameters - the instructions for when nurses should withhold the medication.

Inspectors observed these medical devices stored at residents' bedsides without protective covering over multiple days of observation.