Lorien Mays Chapel: Unlocked Medication Carts - MD
The October 7 inspection found three of the facility's four treatment carts unlocked and unattended across two floors....
Latest reports, citations, and penalties from CMS data
The October 7 inspection found three of the facility's four treatment carts unlocked and unattended across two floors....
Inspectors observed the resident, identified in records as R9, on September 23, 2025....
The resident who was groped, identified in inspection records as Resident 105, was nonverbal....
Levothyroxine, a thyroid medication prescribed for a 6:00 a.m....
The physician on staff disagreed....
The resident's prescribed flow rate was 8 liters per minute, which requires a high-flow nasal cannula....
The heel injuries were being managed with heel protectors....
The inspection, completed October 1, 2025, was triggered by a complaint....
The altercation happened September 11, 2025....
Federal inspectors cited the facility for actual harm, isolated, the kind of citation that signals a real person was hurt, not a paperwork lapse....
That is how the facility learned Resident 101 was gone....
Starting May 9, 2025, she was given Lorazepam, a benzodiazepine sedative, every night for insomnia....
The resident, identified in inspection records only as Resident #10, was admitted to East Park Care Center on an undisclosed date....
The citation, tied to intake number 2636500, documents a failure to report a suspected crime against a resident....
The risk manager looked at supervision levels across the facility and reported full compliance....
The device at the center of the finding is called a left ventricular assist device, or LVAD....
The woman, identified in inspection records only as Resident 104, was weighed on July 10, 2025, using a mechanical lift....
The resident, who had suffered a stroke and was fully dependent on staff for transfers and toileting, was alert and aware of everything happening around her....
The nurse had already signed the Treatment Administration Record saying the dressing change was complete....
The camera in the resident's room captured everything....