The family member pressed facility leadership for an explanation.
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The facility's catheter-related procedures fell so far below standards that federal regulators demanded immediate corrective action.
The facility made the decision without requesting medical records from the hospital or consulting with the resident's physician.
Resident 81 received a 30-day discharge notice on July 23, 2025.
The February 2025 failures included missing midline cap changes on two consecutive days, despite physician orders requiring the caps be changed every shift.
Resident #2 attempted to elope from the facility on July 31, 2025.
The resident's February 2024 lab work showed hepatitis C virus antibodies and elevated RNA levels indicating an active infection.
Federal inspectors found the violation during an August 21 complaint investigation at Marlora Post Acute Rehab Hospital.
Resident #23 discovered the unauthorized charge on June 25 when she called her responsible party to check her account balance.
Her occupational therapist discharged her May 29 with specific recommendations for cervical range of motion exercises.
Resident 3 had been placed on contact precautions for C.
That's 11 sessions weekly, according to evaluations by the facility's therapy team.