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Villa Feliciana: Pattern of Resident Abuse - LA
That decision was not an oversight....
Latest reports, citations, and penalties from CMS data
That decision was not an oversight....
The facility has not submitted a plan of correction....
Bel Aire Center staff changed Resident #2's easily removable Velcro belt to a buckled seat belt that the resident could not unfasten independently....
Proper drug storage in nursing facilities serves multiple critical functions....
Resident 11 had been prescribed oxygen therapy starting November 18 at 7:00 a.m....
The nursing assistant, identified in inspection records as E10, said the response was unusual for the resident, referred to as R1....
Federal inspectors who visited the facility on November 6, 2025, found exactly that....
The citation, tagged at the "actual harm" level, centers on a Qualified Medication Aide performing inhalation treatments....
Federal inspectors found the facility violated regulations requiring comprehensive care plans for residents with behavioral symptoms....
The patient had undergone extensive lumbar spinal surgery on July 31, 2025, but developed complications within days....
While this represents the lower end of the federal severity scale, medical records violations carry significant implications for resident safety and privacy....
The breakdown in communication left physicians unaware when Resident #1 missed multiple doses of phenobarbital, a medication used to control seizures....
Inspectors assigned the finding a **Scope/Severity Level E**, indicating a pattern of deficiency rather than an isolated incident....
While this designation falls below the threshold of immediate jeopardy, it signals conditions that could lead to serious injury if left unaddressed....
The deficiency fell under F0689, the federal tag covering accident hazards and fall prevention....
R2 had been living at the facility since an undisclosed admission date....
The resident was supposed to receive epilepsy medication twice daily at 8:00 AM and 8:00 PM....
The facility has not yet submitted a plan of correction for the reporting violation....
The citation was one of **two deficiencies** documented during the inspection....
Even when an error does not produce an immediately observable adverse outcome, the physiological consequences can be significant....