The error involved tranexamic acid, a drug used to control bleeding.
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The resident, identified in inspection records only as Resident #71, had a physician's order for a mechanical soft diet with nectar-thickened liquids.
The housekeeper case involved Resident #11 and Housekeeper #28.
What they documented fell under F0842, the federal tag covering medical record accuracy.
That remark, made in the dining room at Lifecare Greenbush Manor on or around September 15, 2025, was reported to the assistant administrator.
The drugs included Norco 7.5/325 mg, an opioid and acetaminophen combination prescribed for pain.
That was enough, until it wasn't.
The deficiency, classified at a level of minimal harm or potential for actual harm, affected a small number of residents at the facility.
The findings came from a complaint inspection conducted October 16, 2025.
The inspection, completed October 16, 2025, was triggered by a complaint.
The finding came during a complaint inspection at the 106-bed facility.
The October 2025 complaint inspection at Brookshire Post Acute, a skilled nursing facility at 4660 E.