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Haven of Douglas: Resident Attack, Missing Records - AZ
The first incident involved Resident 1 and Resident 2....
Latest reports, citations, and penalties from CMS data
The first incident involved Resident 1 and Resident 2....
On August 10 alone, the resident received doses at 12:30 a.m., 4:00 a.m., and 8:00 p.m....
The violation, cited at a level of minimal harm or potential for actual harm, affected a small number of residents....
He left a message to pass along in the morning report....
The sequence of events, reconstructed from the inspection report, began in the early morning hours when transport picked R1 up from the facility....
The nurse, identified in inspection records only as LPN1, described what happened in an interview with inspectors on September 2....
The inspector noted the time: 11:37 a.m....
That admission came during a September 2025 complaint inspection at Brookhaven, a 140-bed facility on West Mt....
He had told staff he wanted to go home to his family....
The resident had moderate cognitive impairment....
That was August 22, 2025, at Helia Healthcare of Energy, a small nursing facility in southern Illinois....
The violation affected a small number of residents and was rated at minimal harm or potential for actual harm....
The resident, identified in inspection records only as R1, lived on a hall with 27 residents during the weekend of August 23 and 24, 2025....
Federal inspectors documented the failure in an August 2025 complaint survey at the facility on Stoner Avenue....
Federal inspectors who visited the facility on September 2, 2025, documented actual harm affecting multiple residents....
No list of which medications went home with him....
The resident, identified in inspection records as R3, had a history of stroke with right-side weakness and aphasia....
The deficiency affected a small number of residents....
The resident, identified in the inspection report only as R1, had been on Metoprolol, a beta-blocker commonly prescribed to treat high blood pressure....
The woman had anxiety and post-traumatic stress disorder....