Two days later, she was on the floor again.
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The violation, tagged F744, was recorded during an inspection completed January 29, 2025.
The chair was removed on admission.
The medication, a schedule II opioid painkiller considered one of the most potent in clinical use, was prescribed for a single resident.
That admission came during a federal complaint inspection completed May 27, 2026.
The inspection took six minutes.
The curved-tip device was listed on his care plan.
The resident was transferred to the hospital.
The resident's cellphone, eyeglasses, and wallet containing his driver's license were gone.
That finding sits at the center of a complaint inspection completed at the facility in late May.
The resident, identified only as Resident #1 in inspection records, had been living at the 46-bed facility after suffering a stroke.
The resident, identified in inspection records only as R3, was prescribed Vancomycin every six hours.