The discrepancy covered Residents 9, 19, 23, 4, 13, and 44.
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The inspection report noted that residents were not afforded proper privacy protections during wound care procedures.
That is the arc of a complaint inspection at St.
The nurse, identified in inspection records as RN 1, had stepped out of the room on December 18, 2025, to retrieve lubricant needed to complete the procedure.
No change of condition assessment.
The nurse's own words were the most direct evidence inspectors gathered.
Inspectors classified it as a pattern, not an isolated incident.
The inspection report, filed following a complaint investigation completed November 25, 2025, documents the same pattern across 19 separate dates.
The finding came out of a complaint investigation conducted in November 2025.
Glucagon is the emergency medication kept in nursing facilities for exactly this situation.
The "many residents affected" classification is not the smallest category available to inspectors.
The violation was one of 22 deficiencies cited during the inspection.