Nursing Home News — Page 225

When inspectors asked why the family hadn't been contacted, the Nursing Home Administrator and the Director of Nursing said they weren't sure.

Inspectors visited the facility on September 12, 2025, as part of a complaint investigation and walked through four rooms on three different hallways.

The first couch was in the room of a resident identified in inspection records as R2.

What preceded it was a series of moments in which staff either did not know what they were seeing, did not pass along what they knew, or knew and did nothing.

She knew it was a change in condition.

Inspectors found that residents, at least a few of them, had been affected.

And as soon as she did, she said, she regretted it.

The resident had an order for Norco, the brand name for hydrocodone-acetaminophen, prescribed for moderate to severe pain.

The resident at the center of the medication errors, identified in inspection records as Resident D, is cognitively intact.

The incident happened on September 14, 2025, at 8:14 in the morning.

R1 is documented as having severely impaired cognitive skills for daily decision making.

The administrator walked the unit with inspectors.