Staff member hired as a licensed nurse did not have required licensure to provide nursing care to residents.
GALLUP, NM – MCKINLEY CENTER
Foul smelling wound goes untreated; Resident becomes septic and dies.
ALBUQUERQUE, NM – AVAMERE REHABILITATION AT FIESTA PARK
Facility delayed providing wound care and treatment for 11 days, during which new multiple pressure wounds were identified.
ROSWELL, NM – SUNSET VILLA CARE CENTER
Resident’s pressure ulcer develops without staff noticing until wound becomes unstageable.
MILLEN, GA – PRUITTHEALTH BETHANY
Standard low air loss (LAL) mattress placed on bariatric bed leaving gap between mattress and assist rail; Resident found with head and neck between assist rail and mattress, dead.