The deficiency, cited August 29, covered both general pharmaceuticals and controlled substances.
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The deficiency affected more than one resident.
The resident, identified in inspection records only as Resident 5, had a percutaneous endoscopic gastrostomy tube, commonly called a PEG tube.
The facility's own cameras couldn't answer the question.
The citation fell under a category covering pharmacy service deficiencies.
Inspectors classified it as an isolated incident, meaning it affected at least one resident but was not found to be a pattern across the facility.
The inspection, conducted on August 29, 2025, was triggered by a complaint.
The inspection, conducted September 4, 2025, was triggered by a complaint.
The citation was issued following a complaint inspection completed August 31, 2025.
The inspection, completed August 29, 2025, was triggered by a complaint.
Inspectors determined the failure was not an isolated incident.
The culture and sensitivity was completed on August 18.