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Thorne Crest Retirement Center: Medication Error Unreported - MN
They didn't start until September 6....
Latest reports, citations, and penalties from CMS data
They didn't start until September 6....
Staff did none of what her provider had asked....
That finding, classified under what federal regulators call an environmental deficiency, covered not just residents but staff and visitors as well....
The meal that day was baked fish, rice, and mixed vegetables....
That citation, issued under the regulatory category covering freedom from abuse, is among the more serious classifications inspectors apply....
That is the core of what the September 18, 2025 inspection record shows....
Inspectors did not limit the finding to one step in that process....
The resident, identified in inspection records only as R1, has cerebral palsy and scoliosis....
Inspectors declared immediate jeopardy at Legend Oaks North on September 15, 2025....
That is the finding at the center of a federal complaint inspection at Belhaven Nursing & Rehab Center, completed September 18, 2025....
The medication storage violation was one piece of a larger picture....
One of those citations landed on the facility's quality assessment and assurance program....
Federal health inspectors who visited the facility on September 18, 2025 cited Riverpoint Crest for denying residents that right....
The citation, issued September 18, 2025, fell under the category of resident rights deficiencies....
Inspectors classified the problem as widespread, meaning it wasn't isolated to a single unit or a handful of employees....
The citation, tagged F0692, covered nutrition and hydration monitoring for a small number of residents....
The violation was one of 11 deficiencies found during the inspection....
It was one of nine deficiencies cited during the inspection....
The violation was rated at a scope and severity level that means no actual harm was documented, but the potential for more than minimal harm existed....
Respiratory support, when a resident needs it, is not optional and not deferrable....