That is what federal inspectors found at Potomac Valley Rehabilitation and Healthcare, a nursing home at 1235 Potomac Valley Road in Rockville.
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The citation, issued October 3, 2025, stemmed from a complaint investigation.
The violation, recorded under a category covering quality of life and care, documented that the facility was not ensuring residents received dental services.
The aide, identified in inspection records only as CNA #717, described her routine during a complaint inspection completed October 8, 2025.
When an inspector pointed to a blank space on Resident 1's record and asked what it meant, the director of nursing said it meant the medication was not given.
That finding sits at the center of a complaint inspection conducted October 7, 2025, at the Avoca, Iowa facility.
That admission came from a certified nursing assistant who was present.
The citation, issued October 7, 2025, fell under the category of pharmacy service deficiencies.
The citation was one of 18 deficiencies inspectors documented at the 54-bed rural facility during the October 17 visit.
The antibiotic was meropenem, given intravenously in 500-milligram doses every six hours.
That step was not consistently followed.
The Kardex is the working document that nursing aides carry into a room.