Crawford Care Center: Elopement Supervision Failure - PA
The inspection report cited both administrators by title and measured them against the written expectations their own employer had set for them....
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The inspection report cited both administrators by title and measured them against the written expectations their own employer had set for them....
It was nearly 11 o'clock at night....
What they found was a March 2026 record with holes scattered across the month....
That is what inspectors found when they reviewed records at Brownsburg Health Care Center this spring....
The drug was hydromorphone, a narcotic painkiller several times stronger than morphine....
The Licensed Practical Nurse standing in the room at 2:08 p.m....
The discharge summary the facility filled out listed an address....
She said it was covered in her training class....
That gap was still there when inspectors arrived two months later....
The deficiency was classified as causing minimal harm or the potential for actual harm, and affected a small number of residents....
The admission came during a phone interview on May 27, 2026, when inspectors reached the owner identified in records as Owner B....
Two days later, she was on the floor again....
The violation, tagged F744, was recorded during an inspection completed January 29, 2025....
The chair was removed on admission....
The medication, a schedule II opioid painkiller considered one of the most potent in clinical use, was prescribed for a single resident....
That admission came during a federal complaint inspection completed May 27, 2026....
The inspection took six minutes....
The curved-tip device was listed on his care plan....
The resident was transferred to the hospital....
The resident's cellphone, eyeglasses, and wallet containing his driver's license were gone....