Nursing Home News — Page 980

Internal facility audits confirmed these missed treatments, yet administrators remained unaware of the widespread service gaps.

A mental health worker attempted to de-escalate the situation, but the resident pushed the staff member.

One resident with a urinary catheter had the drainage tubing dragging on the floor while using a wheelchair.

## Critical Kitchen Equipment Out of Service The inspection revealed that essential food preparation equipment was either malfunctioning or in poor condition.

## Critical Seizure Event Details On the day of the seizure, a nursing alert documented the frightening medical emergency.

Facilities must establish written policies and procedures for medication administration and ensure all staff members follow these protocols consistently.

The resident had been receiving the powerful narcotic pain medication at least five times daily to manage breakthrough pain not covered by his Fentanyl patch.

The Activities Director witnessed the assault, stating she "just stepped out of my office when I saw the incident" of R505 touching R504's chest.

Records showed the sacral wound measured 4.5 cm in length, 1.2 cm in width, and 2 cm in depth at the time of inspection, with exposed bone and tissue visible.

The policy states that trained rescuers should provide chest compressions and ventilations with the correct 30:2 ratio.

Federal regulations require nursing facilities to immediately report all allegations of abuse to the administrator and state agency.

The Clinical Manager admitted to inspectors that the facility "forgot to act upon" the pharmacist's recommendation to review the medication's appropriateness.