Nursing Home News — Page 991

The incident involved **60 oxycodone/acetaminophen tablets** belonging to one resident and **30 oxycodone tablets** belonging to another.

The citation references WAC 388-97-0640 (6)(a)(b), indicating violations related to facility operations and resident care standards.

Inspectors found that a resident prescribed antibiotics for a urinary tract infection was not properly tracked or monitored according to established protocols.

The missed medications included **Levetiracetam**, a critical anti-seizure medication prescribed at 750 mg twice daily.

The damaged door exposed multiple construction nails with sharp points facing into the room.

Inspectors documented water temperatures reaching **124 degrees Fahrenheit** in a shower room sink and **123.2 degrees Fahrenheit** in a resident room sink.

Federal surveyors found that weekly audits conducted by nurse managers from February through May 2025 were fundamentally flawed in their design and execution.

The patient, who has paraplegia, seizure disorder, and dysphagia (difficulty swallowing), was found unresponsive and required a code blue emergency response.

Despite these critical warning signs, nursing staff failed to contact medical providers or emergency services for nearly 10 hours.

The resident had an above-knee amputation of his left leg and required a specialized leg rest attachment for his wheelchair due to his medical conditions.

According to facility records, the aide turned the resident onto her side, then completely turned away to retrieve supplies from an overbed table.

Inspectors found multiple documented incidents where residents physically attacked other residents, yet none were reported to state authorities.