The director of nursing and infection preventionist told inspectors the facility does not offer RSV or shingles vaccines at all.
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The orders were explicit, documented, and dated from his first days at the facility.
Inspectors found it on the morning of April 27, 2026.
The violations were cited at the minimal harm level, though all three residents with breathing emergencies required hospitalization.
The citation came out of a complaint investigation completed on April 30, 2026.
Federal inspectors visiting Jackson Memorial Perdue Medical Center on April 27, 2026, found exactly that problem on the North Wing's Red Medication Cart.
After the crying stopped, the resident said the facility had not sent them out for evaluation after the attempt.
The April 30 complaint inspection identified three separate medication failures at the facility.
The April 2026 complaint inspection cited the facility for failing to ensure residents were properly assessed for their hydration status.
The lapse was observed by inspectors on April 27, 2026, at 12:50 p.m.
That is what federal inspectors found on April 27 at Ironwood Rehabilitation and Care Center, a nursing facility at 2200 Ironwood Place in Coeur d'Alene.
That is what federal inspectors found when they reviewed records at The Villa at Stamford following a complaint investigation that concluded April 30, 2026.