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The gaps ran across multiple shifts and multiple residents throughout the month.
Diclofenac is a prescription-strength anti-inflammatory pain reliever.
The resident, identified in inspection records as R28, lives at Wellington Health and Rehab.
The sequence started on approximately June 1, 2025, when a power surge damaged one indoor air unit.
The violation affected many residents, according to federal inspection records.
The inspection, triggered by a complaint, resulted in a finding of immediate jeopardy, the most serious level of harm federal regulators assign.
The violations fall under F0600, the federal tag for neglect and abuse.
Twenty-two days later, on August 27, the same administrator was on the other side of the classroom.
Progress notes reviewed by inspectors described one incident in which R3 walked the halls with her walker before accepting help to bed.
The facility is disputing that finding.
R1's history included Levetiracetam, phenobarbital, and pregabalin, all prescribed for seizure control.