Nursing Home News — Page 423

The violation was one of 22 deficiencies cited during the inspection.

Federal health inspectors visited John J Kane Regional Center-GL on November 25, 2025, responding to a complaint.

A resident at The Citadel at Saint Anne Place went eleven hours without her seizure medication on September 20, 2025, according to a federal inspection report.

Physical restraints are not a minor administrative matter.

The aide kept their job for weeks after the incident before the facility fired them on September 17, 2025.

The citation carried a finding of actual harm.

But the mechanics of what went wrong are worth understanding, because medication gaps in nursing homes rarely stay small.

The violation came to light not during a routine annual inspection, but through a complaint.

The level of harm was classified as minimal harm or potential for actual harm, affecting a small number of residents.

The level of harm was recorded as minimal or potential, and the number of residents affected was listed as few.

The inspection, completed November 25, 2025, was conducted by the Centers for Medicare and Medicaid Services and assigned complaint number 1401318.

The woman in the bed, identified in inspection records only as Resident 1, told the aide what had happened.