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Two minutes later, the LPN heard a fall and found Resident #44 on the floor.

The facility failed to provide adequate supervision for one resident (Resident #44) reviewed for falls. This failure resulted in Resident #44 falling and sustaining a left eye laceration. SoD:ID

A formal Statement of Deficiencies must be precise to withstand legal or administrative appeals. Two minutes later, the LPN heard a fall

Specific, factual observations, including: Two minutes later

2004.08.31 DAB1943 Guardian Health Care Center vs. ... - HHS.gov

What systemic changes (training, new equipment) will prevent a recurrence.

Discrepancies found in medical charts, care plans, or shift logs.


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