That single email was the first notification he had received about his ward's relocation, he told inspectors.
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The inspection report cited both administrators by title and measured them against the written expectations their own employer had set for them.
It was nearly 11 o'clock at night.
What they found was a March 2026 record with holes scattered across the month.
That is what inspectors found when they reviewed records at Brownsburg Health Care Center this spring.
The drug was hydromorphone, a narcotic painkiller several times stronger than morphine.
The Licensed Practical Nurse standing in the room at 2:08 p.m.
The discharge summary the facility filled out listed an address.
She said it was covered in her training class.
That gap was still there when inspectors arrived two months later.
The deficiency was classified as causing minimal harm or the potential for actual harm, and affected a small number of residents.
The admission came during a phone interview on May 27, 2026, when inspectors reached the owner identified in records as Owner B.