The inspection, completed April 24, 2026, centered on Resident 33.
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Repeated falls in her history, muscle weakness, an unsteady gait, and a body that requires moderate staff assistance just to get on and off a toilet.
The resident, identified in inspection records only as Resident #59, was admitted on May 14, 2026.
Staff were also required to initial the medication administration record immediately after giving each medication and before moving on to the next one.
When a resident doesn't know what medications they're on, what a diagnosis means, or what a nurse is about to do, they cannot agree or refuse.
The incident unfolded on the morning of May 22, 2026.
The second time, on December 6, 2025, the Health Records Coordinator told the administrator that the resident had left the building in his own vehicle.
The convection oven had dried, baked-on food inside it and a layer of grease and dust on the outside.
That's what inspectors found at Lakeside Health & Rehab Center on May 20, 2026, during a complaint inspection at the 1200 University Avenue facility.
She was receiving continuous nutrition through a nasogastric tube.
When he arrived, staff documented that he had three credit cards.