The resident had been admitted with a urinary tract infection diagnosis.
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Federal inspectors conducting a complaint investigation on August 18 discovered four black flying insects in the kitchen's dry storage room at 8:56 AM.
Nobody sanitized the lift between uses.
Both medications were ordered to start immediately upon admission.
The omissions left blank spaces where her initials should have appeared, creating gaps that could lead to missed treatments and infection.
When the kitchen manager finally checked temperatures at 8:42 AM, the waffle had cooled to 92.4 degrees Fahrenheit and the ham registered the same temperature.
Licensed Practical Nurse N found the resident on his right side around 4 p.m.
Resident #9 has atrial fibrillation, stroke complications, a pacemaker, heart failure, and an infection of cardiac devices.
The aide, identified as NA#8 in inspection records, was hired on April 12, 2024, and had been certified as a nursing aide since March 7, 2023.
The August 13 attack at First Shamrock Care Center left the victim with redness behind their left ear and fearing another assault.
Hospital staff determined surgery was necessary before the resident could return to the facility.
The incident occurred on the night of August 17, 2025, at Legacy Nursing at St.