The pattern of problems included 13 rooms in which the call bell did not work. A certified nursing assistant, or CNA, allowed a resident to fall from the bed onto the floor face first. Another resident fell and broke her hip. Another received second and third degree burns. Others did not receive the treatment that was prescribed. Another resident strangled to death on a nurse-call cord. The Office of Licensure and Certification found that the nursing home staff was not always properly trained.
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