The violation affected the facility's only kitchen.
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That sentence appears in the facility's abuse prohibition policy, a document inspectors reviewed during a complaint investigation completed April 30, 2026.
The resident, identified in inspection records as Resident #26, was mentally sharp.
By the time the facility notified the California Department of Public Health, it was March 26.
Inspectors found the cup on April 30, 2026, at 12:14 in the afternoon.
When a facility can't confirm what's in a package or how long it's been on the shelf, the margin for error disappears.
The inspection report lists at least one deficiency.
The electrodes had been applied at the hospital on April 13.
The facility's own policy, in place since 2001, requires exactly that.
A formal assessment completed in April rated her cognitive ability for daily decision-making as impaired.
The error happened when RN A searched for Torsemide, a common diuretic used for fluid retention, by typing "TOR" into the electronic system.
That is what inspectors found when they visited Meadowood Nursing Center at 3805 Dexter Lane in late April 2026.