The September incident at Kalkaska Memorial Health Center involved a resident with an above-knee amputation, dementia, and right-side paralysis from a stroke.
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Federal inspectors found the expired medications during a September complaint investigation at Cascades at Port Arthur.
Resident 1 had alleged physical abuse.
The director of nursing herself confirmed during an 11:56 a.m.
Stuart Rehabilitation and Healthcare failed to meet Medicare submission deadlines for all four residents examined during a September complaint investigation.
The incident at AHC of Landerhaven involved residents identified as #51 and #52 on August 12.
The facility took nearly a year to report the neglect allegation to state regulators.
Staff E worked the evening shift on September 15 and charted that Resident #14 displayed clear signs of pain and facial grimacing.
The woman, identified in inspection records as R9, has a cancer ulcer under her right breast that requires daily wound dressing changes.
Staff also failed to monitor the resident for side effects or track whether the medication was effectively managing agitation episodes.
The September inspection at Cedars of Lebanon Care Center found three tablets sitting in a medication cup inside Resident 18's bedside table.
The incident occurred at Otterbein North Shore, where federal inspectors found CNA #106 operating the lift independently at 7:50 a.m.