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The citation fell under what regulators classify as an infection control deficiency.
Inspectors found the gap during the visit and brought it to the attention of a staff member on the spot.
The accident hazard citation, recorded under a federal quality of care standard, was classified as an isolated deficiency with no documented harm to residents.
The finding came out of a complaint inspection conducted on August 27, 2025.
Inspectors visited Astoria Place of Waterville on August 27 and documented the lapse under a category covering quality of life and care.
The unnecessary medication finding, logged under a pharmacy services category, was recorded on August 29.
The vaccination citation fell under infection control, the category that covers some of the most preventable harms in long-term care settings.
Resident 71 fell three times on September 16, 2024.
The inspection, completed August 27, 2025, was triggered by a specific complaint, assigned number OH00166789.
Inspectors classified the violation as isolated, with no actual harm documented, but with potential for more than minimal harm to residents or their families.
No resident was documented as harmed, but inspectors determined the failures carried potential for more than minimal harm.