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The deficiency, recorded under the nutrition and dietary category, was one of 12 violations cited during the inspection.
The citation at Ava Nursing and Rehab Center was one of 16 deficiencies inspectors documented on September 18, 2025.
The citation, issued September 12, 2025, fell under a category of resident rights deficiencies.
That phrase, "potential for more than minimal harm," is regulatory language that carries real weight.
The problem appeared on every shift inspectors reviewed, across two consecutive days.
The citation, issued September 15, covers a straightforward failure: medication errors occurring at a rate of 5 percent or greater.
Inspectors determined no actual harm had occurred, but concluded there was potential for more than minimal harm.
The deficiency was rated widespread, meaning the problem wasn't isolated to a single wing or a single resident's experience.
No designated infection preventionist.
That silence is what federal inspectors documented at Blumenthal Health and Rehabilitation Center in September.
The compliance and ethics training deficiency sits in a category that might sound bureaucratic but isn't.