The inspection was a complaint investigation, not a routine survey.
Nursing Home News — Page 141
All Stories
It had happened more than once, in more than one place, or with more than one resident.
Inspectors cited Bluebonnet Nursing and Rehabilitation on August 22, 2025, for failures in how drugs and biologicals were stored and labeled.
The August 22 inspection, triggered by a complaint, found the facility deficient in providing adequate pain management to a resident requiring such services.
The facility reported the problem corrected the following day.
The resident, identified in inspection records as Resident 6, told inspectors on August 20 that they had not been bathed since at least August 1.
The citation, issued August 22, 2025, accused the facility of failing to provide activities that meet all residents' needs.
The citation, issued August 22, 2025, fell under the regulatory category for infection control deficiencies.
The August 29 complaint inspection produced one of the longer deficiency lists a California nursing home can accumulate in a single visit.
The citation fell under a category covering how nursing homes procure, store, prepare, distribute, and serve food.
Someone handwrote "Contact precautions" on the lab result.
The incident happened at Madison Grove Post Acute on July 29, 2025, at approximately 1:30 AM.