That admission came from someone employed at the facility.
Nursing Home News — Page 363
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The breakdown was first flagged on August 19, 2025.
She was on the left side of the bed.
The dressing on Resident 3 told a different story than the paperwork.
The finding was tagged at a level of minimal harm or potential for actual harm, affecting a few residents.
Inspectors rated the level of harm as actual, not potential, and identified the violation as affecting a small number of residents.
The resident's daughter had refused to sign that consent from the moment her father was admitted.
The violation fell under pharmacy service deficiencies, one of the more consequential categories in nursing home oversight.
The aide who was there that morning later told inspectors exactly what happened.
It was not a suggestion buried in a thick chart.
A nursing assistant who worked the unit consistently said it.
The immediate jeopardy period began October 11, 2025, and was not removed until October 31 — twenty days after it started.