The resident also required monitoring for potential brain bleeding.
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At 7:15 a.m., inspectors tested the dishwasher and recorded a final rinse temperature of just **137 degrees Fahrenheit**.
Her medical history included Stage 5 Chronic Kidney Disease and dementia.
The surveyor observed Certified Nursing Assistant (CNA) 8 wheeling Resident 47 away from the Northwest area of the facility.
The citation under **F610** addresses requirements for facilities to investigate and report allegations of abuse, neglect, and exploitation.
Similarly, the anti-anxiety medication lorazepam (Ativan) was documented as removed from stock on January 24 at 3 a.m.
These concerns were echoed at a family meeting held the previous day, where relatives questioned facility leadership about reduced staffing levels.
Residents who elope face significant risks including exposure to weather extremes, traffic hazards, falls, and inability to access medications or medical care.
According to the inspection report, CNA #3 was observed removing gloves from her pocket and putting them on without first performing hand hygiene.
Burns occurring in oxygen-enriched environments tend to be more severe and can happen almost instantaneously.
Despite these clear instructions, inspectors observed multiple instances where staff ignored the requirement entirely.
Without this information accessible to all caregiving staff, residents may receive incorrect oxygen levels or miss treatments entirely.