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Rehab Center at Bristol: Abuse Investigation Failures - VA
The resident didn't report the incident until nearly two weeks later....
Latest reports, citations, and penalties from CMS data
The resident didn't report the incident until nearly two weeks later....
The patient came back with a PICC line inserted in their arm for long-term intravenous medication delivery....
That's when Resident B heard a pop....
The incident occurred around 11:30 pm on August 3, 2025, when the resident was found crying and complaining of chest pain....
The September 21 assault at Legacy Nursing at St....
Staff heard door alarms going off but didn't immediately investigate the source....
Yet nursing staff failed to document whether the resident ate breakfast on August 3, 4, 9, 15, 22, 23, and September 1, 2025....
The facility's own policies outlined detailed requirements for managing medical orders that weren't being followed....
Resident #13 required tube feeding because she couldn't swallow safely, yet she routinely tampered with her medical equipment and consumed dangerous items....
The assistant administrator discovered the employee in the resident's room asking for money during what should have been her day off....
Federal inspectors questioned the administrator during a September complaint investigation about injuries to a resident identified only as Named Resident #1....
The patient, identified in records as Resident 1, was found face down on the floor of his third-floor room around 9:40 PM....
A sign posted outside the resident's door clearly indicated staff should wear gowns and gloves during high-contact care, including wound treatment....
The resident, identified only as Resident 1, disappeared from the facility sometime between 7 a.m....
Two residents were placed under intensive monitoring, with one requiring round-the-clock supervision....
She heard the resident's right arm "crack" during the repositioning....
Resident 10's medication administration record showed seven separate episodes of physical aggression toward staff between 7 p.m....
The incident occurred at Meadowood Nursing Center on September 15, 2025, at approximately 10:30 p.m....
The resident told staff her left leg pain and tailbone pressure sore prevented her from standing....
Federal inspectors found dozens of missing signatures across two wings during their October 7 investigation....