A unit manager had stepped in to cover.
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That is what federal inspectors found when they visited the facility on October 29, 2025.
The appointment belonged to Resident 2.
The inspection was a complaint investigation, conducted October 16, 2025.
That is what inspectors found on October 21, 2025, at Aventura at Carriage Inn, a nursing facility in Dayton, Ohio.
Inspectors classified it as an isolated incident, meaning they did not find the problem spread across the facility.
The resident, identified in inspection records only as Resident 2, required a mechanical lift to get out of bed.
The incident happened on the night of September 25, 2025.
The medication was Carboxymethylcellulose eye solution, a lubricating drop given on a physician's order.
The inspection, conducted at the facility on North Constitution Drive, centered on a single resident identified in records as Resident 3.
Lorazepam, sold under the brand name Ativan, works by slowing activity in the brain.
The violation, cited during a complaint inspection on October 21, 2025, centered on post-fall assessments completed in early October.