A Tennessee Health Department investigation revealed that a 91-year-old patient at Johnson City nursing home had maggots in her ear because of a hygiene problem at the facility. Records show the unnamed woman suffered from dementia and needed assistance with dressing, eating and bathing. But attendants at the Lakebridge Health Care Center had not washed her hair since July 23 when they found the maggots on August 4. The state found the home deficient in providing daily hygiene to patients and is requiring a plan of action to fix the problem. A Lakebridge administrator says that the woman did have her hair washed regularly, but that staff had failed to always recor d it. She says the patient was taken to the emergency room and suffered no long-term effect.