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St Anthony's Nursing: Medication Failures - IL
His hospital discharge papers were explicit....
Latest reports, citations, and penalties from CMS data
His hospital discharge papers were explicit....
The fall happened on September 19....
But that single competent performance masked deeper problems....
The family member reported the incident to facility staff immediately....
Resident 7 was admitted to the facility in August 2024 with multiple diagnoses including bacteremia, depression and anemia....
No other physician visits were documented in the resident's electronic medical record during the inspection period that stretched into September....
Federal inspectors documented the hygiene failures during a September complaint investigation at the 54 Peachtree Park Drive facility....
Resident B stood near QMA 2, a qualified medication aide who was preparing medications that morning....
Resident 4 suffered from multiple conditions that made falling dangerous....
The facility made errors in documenting whether residents used oxygen therapy, according to a September inspection report....
The incident occurred after the coordinator drove Resident #1 to an orthopedic appointment that ended around 2:30 or 3:00 in the afternoon....
In every case observed, residents couldn't access the call buttons that serve as their lifeline to nursing staff....
The resident had no current doctor's order for the narcotic pain medication....
The resident required substantial assistance for bathing due to muscle weakness, seizures, lack of coordination, and muscle wasting....
The documentation gaps at Sterling Oaks Rehabilitation made it impossible to verify if Resident #2 received prescribed heart medications during her stay....
The medication error at The Brazos of Waco occurred on September 20, 2025, when an agency nurse administered an incorrect dose of Valacyclovir to Resident #1....
The September 10th incident at North Pointe Care Center left Resident 1 with facial lacerations and swelling on the right side of his face....
The resident had severe cognitive impairment and was dependent on staff for all daily activities, inspection records show....
Inspectors observed the violation during wound care on September 26....
None of this happened for Resident 1....