The citation under tag F0835 targets administration directly.
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The level of harm was listed as minimal harm or potential for actual harm.
That plan existed for a reason.
The lapse was discovered during a complaint investigation completed August 20, 2025.
The administrator and the director of nursing told inspectors they were unaware staff had been skipping shift-to-shift narcotic counts.
Inspectors classified the deficiency as isolated, meaning it did not affect every resident, but concluded it carried potential for more than minimal harm.
The inspection was triggered by a complaint, assigned case number OH00164606.
Federal inspectors documented the violation on August 20, 2025, following a complaint.
The care plan for the resident, identified in inspection records only as Resident 11, was initiated on March 24, 2025.
Lovenox, an injectable blood thinner, is commonly used following strokes to reduce the risk of further clotting.
The August 20 inspection was triggered by a complaint.
Federal inspectors classified the violation as causing actual harm.