The inspection was triggered by a complaint.
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No instructions for taking them.
R3 used a wheelchair, could not walk on her own, and had significant difficulty communicating.
Inspectors visited Civita Care Center at Newington on August 28, 2025, and documented what they found in the medical records and in interviews with staff.
The resident, identified in the inspection report only as R1, had been on Metoprolol, a beta-blocker commonly prescribed to treat high blood pressure.
The unlocked cart was the more immediate concern.
"She did not want to give a partial facility assessment," the inspection report noted.
The inspection, conducted September 8, 2025, was triggered by a complaint.
The admission came during a complaint inspection completed September 5, 2025.
Federal inspectors who investigated the complaint rated the violation as causing actual harm.
The resident, identified in inspection records as R28, had been a patient at the facility for years.
Inspectors arrived on September 9, 2025, responding to a complaint.