Inspectors assigned it Complaint Number 2664258.
Nursing Home News — Page 39
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The November 13 inspection was a complaint investigation, meaning someone had already raised concerns before inspectors walked through the door.
No entry documenting the elopement.
The two of them got him there together.
The inspection, conducted November 13, 2025, found that Springs of Richmond had failed to ensure residents were free from significant medication errors.
The citation, issued November 13, 2025, falls under a category of deficiency that federal regulators treat as foundational to nursing home care.
The deficiency falls under the category of nursing and physician services, and the gap it describes is a foundational one.
That detail emerged during a November 2025 complaint inspection at the facility.
The designation of immediate jeopardy is not routine language.
The November 19 inspection was triggered by a complaint.
Instead of the traditional bariatric mattress the bed was designed to work with, Resident B had a low air loss mattress inside it.
Inspectors classified the deficiency as isolated, meaning it did not appear to be a pattern running through the entire operation.