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F0550
D

Failure to Provide Dignified Care for Resident with Active Bleeding Wound

Grants, New Mexico Survey Completed on 11-18-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A resident with a history of cognitive communication deficit and degenerative disease of the nervous system, and who was assessed as having severe cognitive impairment, was observed sitting in the dining room during lunch with an actively bleeding wound on his right hand. The resident had blood on both hands, his face, and clothing, and was seen feeding himself with his bloody hands, including picking butter out of single-serve butter cups. Staff served the resident his meal tray and then walked away without addressing the bleeding wound or cleaning the resident. The Director of Nursing confirmed that the resident had an open, actively bleeding wound and blood on his hands and clothing, and acknowledged that it was not acceptable for the resident to be in the dining room in that condition. The DON stated that the wound should have been cleansed and covered, and that staff should have attended to the resident's wound before serving his meal. The failure to provide care with dignity and respect was directly observed and verified during the survey.

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