The inspection, conducted March 21, 2025, found Resident #155 lying in bed in a hospital gown with a rolled facecloth tucked into each hand.
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She was documented as always incontinent of both bowel and bladder and fully dependent on staff for toileting hygiene.
The March 2025 inspection of Greendale Park Nursing and Rehab, located at 5404 W.
When a federal surveyor walked through Hillcrest Commons Nursing & Rehabilitation Center on the morning of March 25, 2025, the problem wasn't hidden.
One of them was no longer alive.
Inspectors observed Resident 27 at 12:20 p.m.
The resident was prescribed Ceftazidime, an antibiotic, along with midodrine, a blood pressure medication.
That was the scene on the morning of April 7, 2025, at Woodland Care Center, a nursing facility on Corbin Avenue in Reseda.
R3 had been admitted to Greendale Park with the coccyx wound already present.
Between February 1 and March 17, 2025, that resident, identified in inspection records only as Resident #66, exceeded the limit 15 times.
Nobody had written down how often.
The finding came during a March 2025 inspection of La Brea Rehabilitation Center, a nursing facility at 505 N.