That explanation contradicted what the facility's own administrator and nursing staff told investigators.
Nursing Home News — Page 332
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St Mary Healthcare Center discharged Resident C on July 31 with assessment documents that contradicted her actual abilities.
The resident required 15 units of insulin before each meal to manage Type II diabetes, according to physician orders that began June 13.
He had been confined since March after returning from a community pass intoxicated with marijuana.
Federal inspectors found staff routinely ignoring safety protocols designed to contain the spread.
Immediate jeopardy citations are reserved for situations where residents face imminent risk of serious injury, harm or death.
Four Seasons Healthcare & Wellness Center gave Resident 2 the drug Paxlovid outside the facility's required one-hour medication window on August 16, 2025.
The incident occurred at Continuing Healthcare of Gahanna, where the male nurse entered Resident #17's room to apply cream to her legs.
Federal inspectors found that staff recognized clear signs of distress but didn't ensure proper medical oversight during the critical transition period.
The incident involved two residents with documented behavioral issues and cognitive differences.
Federal inspectors found the conditions at Mission Point Nursing & Physical Rehabilitation Center during a complaint investigation in August.
The August 25 inspection revealed systemic breakdowns in fall prevention that put residents at immediate risk of serious injury or death.