The dignity citation, recorded under the regulatory category covering residents' rights, was not a one-time lapse.
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The finding means the shortage wasn't something that happened once on a bad shift.
The pump was missing a dose limit setting.
That finding emerged from a complaint inspection completed August 21, 2025, at the facility on Mockingbird Lane.
The citation, issued August 22 following a complaint inspection, falls under a category that tracks how well nursing homes evaluate the people in their care.
The August 21 inspection produced six total deficiencies.
The facility's own policy, last updated in 2022, spelled out exactly what was required.
The accident hazard citation fell under a category regulators call Quality of Life and Care deficiencies.
Inspectors classified the finding at Scope/Severity Level D, meaning the problem was isolated and no actual harm was documented at the time of the visit.
Feeding tubes are not routine interventions.
The deficiency was classified at a level of minimal harm or potential for actual harm, affecting a few residents.
The violation was rated at scope and severity level D, meaning inspectors identified it as isolated and found no actual harm.