She had a physician order dating back to February 3 requiring continuous oxygen at four liters per minute.
Nursing Home News — Page 267
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pylori gastritis, a bacterial stomach infection.
The resident, identified in inspection records only as Resident 17, came to St.
It wasn't contained to resident rooms.
The facility's own guidelines on physical restraints are cited in the inspection findings.
The inspection, completed March 31, 2026, was filed as a complaint.
That was how the facility operated until the burn happened.
The resident, identified in inspection records only as Resident #29, has lived at the facility since February 2014.
Nobody had told her anything was wrong.
The inspection report does not name the resident who eloped.
The discrepancy surfaced on the evening of March 12, 2026, during a routine narcotic count.
Staff E, one of the two CNAs who performed the transfer, described the moment to inspectors on March 27.
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