Country Aire: Dangerous Medication Crushing Error - MO
The September 29 incident at Country Aire Retirement Center involved glipizide and metoprolol, both designed to release gradually throughout the day....
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The September 29 incident at Country Aire Retirement Center involved glipizide and metoprolol, both designed to release gradually throughout the day....
Resident #60 weighed 162.7 pounds on September 15....
Resident 19 arrived at the 63-bed facility on September 30 with intracranial hemorrhage, respiratory failure, and chronic obstructive pulmonary disease....
She uses a walker to move around the facility and requires supervision with daily activities like bathing and grooming....
The peeling extended about an inch up from the floor surface....
Resident #1 should have received 12 mg of warfarin on November 11, 12, and 13, according to Unit Manager #1's explanation to federal inspectors....
The longest delay occurred November 12, when one resident pressed the call button at 5:15 p.m....
The incident occurred at Memorial Manor on September 14th, when Staff B discovered the alarming vital signs but chose not to contact the resident's doctor....
Resident 103 attended dialysis three times weekly through a central line surgically placed in her right chest....
The resident also carried a diagnosis of chronic pain syndrome....
Resident 1 required specialized urinals due to their medical condition, but the facility's infection preventionist had no idea the equipment existed....
The incident occurred July 13, 2025, when Resident 5 made the statement to Licensed Practical Nurse D during an evening shift....
The facility's communication failures ran deep....
Resident #1 was transferred to the hospital emergency department on September 21....
The September incident involved a patient who takes Percocet four times daily for pain management through a specialized clinic....
The oversight meant staff had no written guidance about monitoring for life-threatening complications like blood clots, infections, or catheter displacement....
Inspectors observed a ceiling in disrepair with the black substance near a dirty sprinkler head....
"The LVN who opened the insulin pen should have labelled the insulin pen with date opened and expiration date," the nurse told inspectors during an 8:05 a.m....
The infection control failures left families, staff and community members unaware of the potential exposure risk....
The nurse explained that Resident 1 had the right to watch television....