That was the situation at New London Sub-Acute and Nursing on Clark Lane when federal inspectors arrived in late March.
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Pneumococcal disease, caused by bacteria, is a leading cause of serious illness in older adults.
That was one of three medication storage problems federal inspectors documented at Grandvue Medical Care Facility during a March 2025 inspection.
The resident's physician had been explicit.
That's what federal inspectors found at Hillcrest Commons Nursing & Rehabilitation Center during a March 2025 survey.
The resident, identified in inspection records only as Resident 283, was receiving two grams of Cefepime intravenously twice daily, at 8:00 a.m.
The August 11 complaint inspection turned up 15 deficiencies in all.
The resident, identified in inspection records as Resident 70, had been prescribed Seroquel, an antipsychotic medication.
The two described a multi-step verification process that sounded thorough on paper.
That is what inspectors found at Hillcrest Commons Nursing & Rehabilitation Center on Valentine Road during a March 25 survey.
"I know it's going to be a bad night if the trays are still on the hall," CNA B told inspectors during a telephone interview on March 19.
She is cognitively impaired and totally dependent on staff for every aspect of her daily care.