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- Duty To ProtectAbuse & neglect
Inspectors found that the home failed to protect a resident from verbal abuse by a staff member. An investigation by the home substantiated the allegation and disciplinary action was taken against the staff member.
- Transferring And Positioning TechniquesRestraints & mobility
Inspectors found that a staff member transferred a resident without using the required assistive device, despite the resident's care plan specifying that a particular device must be used for all transfers.
- Falls Prevention And ManagementFalls
Inspectors found that when a resident had unwitnessed falls, nursing staff did not complete the head injury assessments that the home's falls prevention policy required them to perform.