V6, the nursing assistant involved, was preparing the resident around noon on August 16 when the accident occurred.
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CNA #118 admitted she forgot to secure the front of Resident #14's wheelchair before departing for a medical appointment on September 24.
A physician then ordered urinalysis with culture and sensitivity testing that same day.
The resident, who has Parkinson's disease and a history of cerebral infarction, told inspectors about the August incident: "I sure do.
When physicians finally examined the 83-year-old woman on September 29th, X-rays revealed fracture fragments in her knee.
Resident #4's weight dropped enough on September 23 to trigger the facility's protocols for significant weight loss.
The resident had undergone an operation on her feet and was not supposed to put pressure on them.
Federal inspectors discovered the missing documents during an October 14 complaint investigation.
Resident B reported the lost flip phone to a certified nursing assistant a couple months before federal inspectors arrived in October.
A geriatric nursing assistant responded and acknowledged his need but said she would return shortly.
The resident, identified as Resident B, has rhabdomyolysis, a condition where skeletal muscle breaks down and releases harmful substances into the bloodstream.
Federal inspectors documented the sequence through facility surveillance footage and witness accounts.