Deficiencies (last 4 years)
Deficiencies (over 4 years)
13.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
130% worse than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
94 residents
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 94
Deficiencies: 1
Mar 19, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to timely identify and prevent a pressure ulcer in a dependent resident (Resident 2) who developed a stage 3 sacral pressure ulcer that was not identified until four days after admission.
Findings
The facility failed to timely identify and prevent a stage 3 sacral pressure ulcer and surrounding deep tissue injury for Resident 2, who was admitted with cognitive and mobility deficits. The initial admission assessment lacked documentation of the pressure ulcer, and wound care was delayed until four days after admission. The care plan lacked specific treatment details for the wound, and nursing documentation did not reflect timely assessment or care. The facility acknowledged policy noncompliance due to staffing issues and took corrective actions.
Complaint Details
The investigation was complaint-related, focusing on the failure to timely identify and prevent a pressure ulcer in Resident 2. The deficiency was substantiated with findings of delayed wound identification and inadequate care.
Severity Breakdown
Level of Harm - Actual harm: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide appropriate pressure ulcer care and prevent new ulcers from developing. | Level of Harm - Actual harm |
Report Facts
Census: 94
Stage 3 pressure ulcer measurement: 4.43
Stage 3 pressure ulcer width: 0.5
Stage 3 pressure ulcer depth: 0.1
Braden score: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse G | Licensed Nurse | Provided statement about skin assessment on admission and condition of Resident 2 |
| Administrative Nurse E | Administrative Nurse | Acknowledged initial skin assessment timing and described nursing and wound care team roles |
| Administrative Nurse D | Administrative Nurse | Acknowledged delayed assessment, need for nurse re-education, and provided wound photographs |
| Administrative Staff A | Administrative Staff | Acknowledged policy noncompliance due to staffing issues and resignation of Director of Nursing |
Inspection Report
Annual Inspection
Census: 89
Deficiencies: 1
Dec 2, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with safety regulations, specifically to ensure the nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Findings
The facility failed to ensure a safe environment free from preventable accidents for one resident who was at high risk for falls. A staff member provided care without the required two-person assistance, resulting in the resident falling out of bed and sustaining a minor head injury.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure a safe environment free from accident hazards and provide adequate supervision to prevent accidents, resulting in a resident fall and injury. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Census: 89
Fall Risk Assessment Score: 9
Previous non-injury falls: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA O | Certified Nurse Aide | Witnessed the resident fall while performing incontinence care alone |
| CNA M | Certified Nurse Aide | Reported resident required two-person assistance and described resident's condition and fall risk |
| Therapy Consultant HH | Therapy Consultant | Provided information on resident's dependency and mobility status |
| Administrative Staff A | Administrative Staff | Provided information about the fall incident and reporting |
Inspection Report
Routine
Census: 93
Deficiencies: 15
Aug 22, 2024
Visit Reason
The inspection was a routine survey of Ignite Medical Resort Rainbow Boulevard, LLC, to assess compliance with healthcare regulations and standards.
Findings
The facility was found deficient in multiple areas including failure to promote resident dignity, failure to provide timely transfer notifications, incomplete care plans for dialysis, unsecured hazardous materials, improper catheter care, inadequate dialysis communication, unassessed bed rail risks, insufficient RN coverage, unsecured medication carts, improper food labeling and storage, failure to implement infection control programs including PPE use and water management, and failure to ensure agency staff received required training on resident rights, abuse prevention, and infection control.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 15
Deficiencies (15)
| Description | Severity |
|---|---|
| Failed to promote a dignified care environment for Resident 51 during mealtime, exposing the resident's backside to others. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide timely written notification of transfer to Resident 238 or their representative for facility-initiated transfers. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to revise Resident 62's care plan with interventions directing staff on dialysis access port location, care, and monitoring. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to secure hazardous materials and rooms from nine cognitively impaired ambulatory mobile residents. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure Resident 12's suprapubic catheter was anchored on the abdomen to prevent pulling and injury. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure ongoing communication and collaboration with dialysis facility regarding Resident 62's dialysis care and services. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to assess risks of bed rail use related to Resident 73's low air-loss mattress system. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide Registered Nurse coverage eight consecutive hours a day, seven days a week. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to store medications securely to limit access when staff failed to lock three medication carts. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure food items were appropriately labeled and stored after the original package had been opened. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to follow sanitary infection control standards related to use of PPE for Enhanced Barrier Precautions and failed to implement a water management program for Legionella and other waterborne pathogens. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure agency staff received required resident rights training. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure agency staff received required abuse, neglect, and exploitation training. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure agency staff received required infection control training. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure Resident 79's PRN hydroxyzine had a 14-day stop date or documented physician rationale and specified duration. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents Affected: 93
Sample size: 19
Residents reviewed for dignity: 1
Residents reviewed for hospitalization: 1
Residents reviewed for catheter care: 4
Residents reviewed for dialysis: 2
Residents reviewed for accidents: 2
Residents reviewed for unnecessary medications: 5
Insulin pens unsecured: 28
Low air-loss mattress weight setting: 350
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse D | Administrative Nurse | Provided statements on dignity, transfer notifications, dialysis care, hazardous materials, medication carts, PPE use, RN coverage, and psychotropic medication policies. |
| Licensed Nurse H | Licensed Nurse | Commented on dignity, hazardous materials, and medication cart security. |
| Certified Nurse Aide T | Certified Nurse Aide | Commented on dignity and gown use. |
| Licensed Nurse I | Licensed Nurse | Commented on dialysis care and catheter anchor placement. |
| Certified Nurse Aide M | Certified Nurse Aide | Assisted Resident 12 with catheter care and commented on catheter anchor placement. |
| Certified Nurse Aide N | Certified Nurse Aide | Commented on catheter anchor placement. |
| Licensed Nurse L | Licensed Nurse | Observed failure to wear gown during wound care for Enhanced Barrier Precautions. |
| Administrative Staff A | Administrative Staff | Provided statements on water management program and agency staff training. |
| Administrative Staff C | Administrative Staff | Provided statements on PPE training and signage. |
| Licensed Nurse G | Licensed Nurse | Commented on psychotropic medication stop dates. |
| Administrative Staff A | Administrative Staff | Commented on agency staff training and record maintenance. |
Inspection Report
Routine
Census: 93
Deficiencies: 15
Aug 22, 2024
Visit Reason
Routine inspection of Ignite Medical Resort Rainbow Boulevard, LLC to assess compliance with healthcare facility regulations including resident care, safety, medication management, infection control, and staff training.
Findings
The facility was found deficient in multiple areas including failure to promote resident dignity, inadequate notification of transfers, incomplete care plans for dialysis, unsecured hazardous materials, improper catheter care, insufficient dialysis communication, inadequate bed rail risk assessment, lack of RN coverage for required hours, unsecured medication carts, improper food labeling and storage, failure to follow infection control protocols including PPE use and water management, and failure to ensure agency staff received required training on resident rights, abuse prevention, and infection control.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 15
Deficiencies (15)
| Description | Severity |
|---|---|
| Failed to promote a dignified care environment for Resident 51 during mealtime, exposing the resident's backside to peers and visitors. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide timely written notification of transfer to Resident 238 or their representative for facility-initiated transfers. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to revise Resident 62's care plan with interventions to direct staff on dialysis access port location, care, and monitoring. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to secure hazardous materials and rooms from nine cognitively impaired ambulatory mobile residents. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure Resident 12's suprapubic catheter was anchored on the abdomen to prevent pulling and injury. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure ongoing communication and collaboration with dialysis facility regarding Resident 62's dialysis care and services and failed to identify and assess dialysis access type and location. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to assess risks of bed rail use related to Resident 73's low air-loss mattress system. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide Registered Nurse coverage eight consecutive hours a day, seven days a week. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to store medications securely to limit access when staff failed to lock three medication carts. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure food items were appropriately labeled and stored after the original package had been opened. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to follow sanitary infection control standards related to the use of PPE for Enhanced Barrier Precautions and failed to implement a water management program for Legionella and other waterborne pathogens. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure agency staff received required resident rights training. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure agency staff received required abuse, neglect, and exploitation training. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure agency staff received required infection control training. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure Resident 79's PRN hydroxyzine had a 14-day stop date or documented physician rationale and specified duration. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Census: 93
Sample size: 19
PRN hydroxyzine dose: 50
Low air-loss mattress weight setting: 350
Dialysis schedule: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse D | Administrative Nurse | Provided statements regarding dignity, transfer notification, dialysis care plan, hazardous materials, medication carts, infection control, and RN coverage |
| Licensed Nurse H | Licensed Nurse | Commented on dignity, hazardous materials, and medication cart security |
| Certified Nurse Aide T | Certified Nurse Aide | Commented on dignity and gown coverage |
| Licensed Nurse I | Licensed Nurse | Commented on dialysis care and catheter anchor placement |
| Administrative Staff A | Administrative Staff | Commented on water management program and agency staff training |
| Administrative Staff C | Administrative Staff | Commented on Enhanced Barrier Precautions training |
| Licensed Nurse L | Licensed Nurse | Observed failure to wear gown during wound care under Enhanced Barrier Precautions |
| Licensed Nurse G | Licensed Nurse | Commented on PRN psychotropic medication stop dates |
| Administrative Staff A | Administrative Staff | Discussed agency staff training records and responsibilities |
Inspection Report
Routine
Census: 91
Deficiencies: 3
Mar 21, 2024
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory standards related to accident hazards, behavioral health care, and food safety in the facility.
Findings
The facility was found deficient in securing hazardous materials, specifically an overfilled Sharps container accessible to residents, inadequately meeting behavioral health needs of a resident resulting in repeated behavioral episodes, and failing to maintain sanitary dietary standards in kitchenettes, placing residents at risk for injuries, behavioral outbursts, and food-borne illnesses.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to secure hazardous materials; Sharps container was overfilled and accessible, placing residents at risk for injuries. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to adequately meet a resident's behavioral health needs related to non-pharmacological care approaches, resulting in repeated behavioral episodes and risk of injuries. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to follow sanitary dietary standards for food storage and maintaining a sanitary food service environment, placing residents at risk for food-borne illnesses. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents affected: 4
Residents affected: 1
Residents affected: 2
Census: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse (LN) G | Stated nursing staff should replace Sharps bins before full and never push contents inside | |
| Administrator A | Stated staff were expected to replace Sharps bins or notify maintenance | |
| Certified Nurses Aid (CNA) M | Stated resident R1 had behaviors towards other residents and described behavioral interventions | |
| Administrative Nurse D | Stated resident R1's behaviors had improved and described behavioral interventions | |
| Dietary Staff BB | Stated kitchenettes should be managed by contracted dining services and described food safety expectations | |
| Administrative Staff A | Stated staff were expected to clean up after themselves in kitchenettes |
Inspection Report
Complaint Investigation
Census: 82
Deficiencies: 1
Jan 10, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to follow-up with a resident's physician after a change in condition.
Findings
The facility failed to follow-up with Resident 1's physician after a significant change in condition, resulting in a risk for delayed treatment and unwarranted physical complications. Documentation and interviews revealed inadequate communication with the on-call provider and lack of physician notification as required by facility policy.
Complaint Details
The complaint investigation found that on 12/30/23, Resident 1 experienced a change in condition with symptoms including difficulty forming words and pallor. The Licensed Nurse G called the on-call service but was unable to reach a provider and left a voicemail. The facility's medical record lacked evidence of physician follow-up after this event. Interviews with nursing staff and administrative personnel confirmed expectations for physician notification and follow-up were not met.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to follow-up with Resident 1's physician after a change in condition, risking delayed treatment and physical complications. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Resident census: 82
BIMS score: 6
BIMS score: 11
Vital signs: 97.61
Heart rate: 111
Respirations: 20
Oxygen saturation: 95
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse G | Licensed Nurse | Called on-call provider and left voicemail after Resident 1's change in condition; reported assessment and actions taken |
| Administrative Nurse D | Administrative Nurse | Provided statements on expected nurse actions and follow-up procedures after Resident 1's change in condition |
| Licensed Nurse I | Licensed Nurse | Stated protocol for calling physician and 911 after resident change in condition |
| Licensed Nurse H | Licensed Nurse | Received shift report from LN G; unavailable for interview |
Inspection Report
Complaint Investigation
Census: 93
Deficiencies: 3
Sep 12, 2023
Visit Reason
The inspection was conducted based on a complaint investigation regarding failure to provide appropriate nursing care and medication administration consistent with physician orders, including monitoring of blood thinner medication and PICC line dressing changes.
Findings
The facility failed to ensure proper monitoring of Resident 1's PT/INR labs related to Coumadin and Lovenox use, failed to prevent a significant medication error involving missed Coumadin administration, and failed to ensure competent nursing care for Resident 2 by not changing the PICC line dressing as ordered and falsely documenting the dressing change. These deficiencies placed residents at risk for bleeding complications, infection, and ineffective medication regimens.
Complaint Details
The complaint investigation revealed failures in monitoring blood thinner labs, medication administration errors, and nursing care competency related to PICC line dressing changes. Resident 1's representative was not informed of missed lab draws and medication errors. The facility acknowledged the medication error and lack of documentation regarding refused blood draws.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to provide appropriate treatment and care according to orders, resident’s preferences and goals related to monitoring PT/INR for Resident 1 on blood thinners. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure nurses and nurse aides had appropriate competencies to care for Resident 2, including failure to change PICC line dressing as ordered and false documentation of dressing change. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure residents were free from significant medication errors, specifically a transcription error causing missed administration of Coumadin to Resident 1. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Census: 93
Deficiencies cited: 3
Medication doses: 6
PICC dressing date: Aug 31, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse E | Stated Resident 1 refused blood draws and that physician should be notified | |
| Licensed Nurse G | Verified PICC dressing date and stated monitoring of Coumadin dose | |
| Administrative Staff A | Acknowledged missed Coumadin order and medication error |
Inspection Report
Plan of Correction
Deficiencies: 0
Jun 20, 2023
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction report for Ignite Medical Resort Rainbow Boulevard, LLC, summarizing the findings of a regulatory survey completed on 2023-06-20.
Findings
No health deficiencies were found during the survey.
Inspection Report
Annual Inspection
Deficiencies: 0
Mar 28, 2023
Visit Reason
The inspection was conducted as an annual survey to assess the facility's compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 89
Deficiencies: 7
Jan 5, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication administration, infection control, and environmental conditions at Ignite Medical Resort Rainbow Boulevard, LLC.
Findings
The facility failed to maintain a sanitary, clean, and homelike environment, failed to ensure appropriate treatment and care according to physician orders, failed to provide adequate dementia care, failed to ensure proper medication administration and pharmacist review, failed to coordinate hospice care, and failed to implement effective infection prevention and control measures, placing residents at risk for harm.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to maintain a sanitary, clean, and homelike environment including urine odors, soiled linens, and unclean kitchenettes. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide appropriate treatment and care according to physician orders, including failure to apply support stockings and weigh resident weekly as ordered. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide appropriate dementia care and services, including inadequate supervision and monitoring of a cognitively impaired resident. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure licensed pharmacist performed monthly drug regimen review and reported irregularities related to as needed antihypertensive medication administration. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure resident remained free from significant medication errors when staff administered incorrect dose of antidepressant medication. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure coordinated care and services between the facility and hospice provider, including lack of hospice plan of care in resident's hospice book. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide and implement an infection prevention and control program, including failure to follow transmission-based precautions and improper storage of clean linens. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents reviewed: 20
Residents on isolation for COVID-19: 3
Residents on isolation for CRAB: 4
Dates with SBP > 170 mmHg: 5
Medication administration days missing: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA Q | Certified Nurse Aide | Noted observations about urine smell and sheet soiling in resident R188's room |
| LN I | Licensed Nurse | Provided information about housekeeping and linen change policies |
| Dietary Staff BB | Dietary Staff | Described kitchen cleaning procedures |
| Administrative Nurse D | Administrative Nurse | Provided multiple statements regarding cleaning, linen changes, wheelchair cleaning, medication administration, infection control, and hospice care coordination |
| CNA O | Certified Nurse Aide | Stated assistance provided to resident R51 for applying support stockings |
| LN H | Licensed Nurse | Described nursing staff responsibilities for support stockings and medication administration |
| CNA M | Certified Nurse Aide | Reported on dementia resident R11's wandering and social engagement |
| Consultant HH | Consultant Pharmacist | Reviewed medication irregularities and hospice plan of care |
Inspection Report
Routine
Census: 75
Deficiencies: 9
Jul 9, 2021
Visit Reason
The inspection was a routine survey of Ignite Medical Resort Rainbow Boulevard, LLC, focusing on compliance with care standards including resident accommodations, wound care, bathing services, medication administration, food safety, and infection control.
Findings
The facility failed to provide appropriate accommodations such as bariatric beds, failed to provide adequate bathing services and clean clothing for dependent residents, failed to provide wound care in a sanitary manner, failed to prevent pressure ulcers, failed to provide proper foot care, failed to administer medications timely, failed to maintain food safety standards, and failed to maintain laundry areas in a sanitary condition.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 9
Deficiencies (9)
| Description | Severity |
|---|---|
| Failed to provide appropriate size bariatric bed for Resident 45 after request. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure application of compression stockings and sanitize mattress after wound drainage for Resident 24; failed to provide sanitary wound care for Residents 24 and 46. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide bathing services and clean clothing for dependent residents including Residents 45, 5, 42, and 24. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide dressing changes in a sanitary manner for Resident 46 with facial wounds and drain site. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide appropriate pressure ulcer care and prevent new ulcers for Residents 52 and 60. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide proper foot care for Residents 3 and 60, including long untrimmed toenails and foot abrasions. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to administer Resident 24's morning medications within the prescribed time frame. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide safe food handling practices; staff touched food and plates with contaminated gloves and entered kitchen without hairnet. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to maintain soiled and clean laundry processing areas in a sanitary manner to prevent infection spread. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents sampled: 21
Residents reviewed for ADLs: 11
Residents reviewed for pressure ulcers: 4
Residents reviewed for unnecessary medications: 6
Residents affected by bathing deficiencies: 7
Stage II pressure ulcer size: 3
Stage II pressure ulcer size width: 2.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LN L | Licensed Nurse | Failed to use sanitary technique during wound care for Resident 52. |
| CNA OO | Certified Nurse Aide | Assisted with wound care for Resident 52. |
| LN J | Licensed Nurse | Failed to sanitize hands and surfaces during wound care for Resident 46. |
| CMA S | Certified Medication Aide | Administered medications to residents, including Resident 24. |
| CDM BB | Certified Dietary Manager | Verified food handling deficiencies. |
| MS U | Maintenance Staff | Commented on laundry sanitation and supply issues. |
| Administrative Nurse D | Administrative Nurse | Provided multiple interviews regarding bathing, wound care, medication, and foot care deficiencies. |
| Administrative Nurse E | Administrative Nurse | Confirmed wound care sanitation practices. |
| Administrative Nurse F | Administrative Nurse | Confirmed wound care and pressure ulcer prevention expectations. |
| Consulting Nurse GGG | Consulting Nurse | Provided expert opinion on wound care. |
Loading inspection reports...
