LVN 1 admitted her mistakes during interviews with federal inspectors in late September.
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Resident #4's incident began after a shower when she became agitated and refused to get dressed.
Resident #1 wore a code alert bracelet designed to trigger door alarms and prevent unsupervised exits.
LVN B gave tramadol to Resident #2 on September 20 at 2:00 pm, according to the facility's Director of Nursing.
Federal inspectors responding to a complaint discovered the infection control violation during interviews with staff in November.
Plainview Healthcare Center fired its administrator on July 16, 2025, and has not replaced him with a licensed professional.
Resident #5, who has multiple sclerosis and Crohn's disease, received a PICC line at the hospital on October 11 for vancomycin treatment.
The admission came during a complaint investigation that found Resident #1 could face severe allergic reactions from improper medication handling.
Resident #1 told inspectors he had asked the aide to remove his lunch tray so he could use his bedside table.
Two residents required feeding assistance at mealtimes, but their care plans failed to reflect this critical need.
Hospital doctors told the facility to review her blood pressure medications, which may have needed adjustment.
The man said he became too embarrassed to go to the dining room because of his condition.