The family was forced to contact the facility on August 13 to request the medication information they should have received automatically.
Nursing Home News — Page 356
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The resident was hospitalized for pneumonia when family members photographed extensive bruising on the right arm and contacted state inspectors.
The cancerous growth was actively invading and destroying healthy brain tissue.
Resident #54 sat in his wheelchair, unable to summon help because his call bell lay on the floor under his bed, completely out of reach.
But inspectors found no outstanding dialysis forms anywhere in the facility.
The resident suffered from memory problems and severely impaired cognitive skills following a stroke that left the right side paralyzed.
The incident occurred during a September 5 complaint inspection at The Villa at Mountain View on Duncanville Road.
Staff were supposed to draw the labs every Tuesday.
The medication errors involved hydrocodone with acetaminophen, a controlled narcotic that federal regulators flag for potential diversion and misuse.
Two residents told inspectors they had given up on showers entirely.
The resident at Jefferson Manor Nursing and Rehab Center told state inspectors on September 3 that he wasn't pleased with his room's conditions.
The facility's own policy required immediate updates following such events.