But a review of his electronic medical records from August 7 through September 22 turned up no documentation of the restraint.
Nursing Home News — Page 448
All Stories
Narcotic control sheets showed staff signed out the powerful painkiller 22 times from October 19 through October 28.
The technician, identified as CMT B, confused two newly admitted residents who shared the same first name and lived across the hall from each other.
The deficiency, logged under federal tag F0609, was assessed at a level of minimal harm or potential for actual harm.
The October incident at WeCare at Mt Lebanon Rehabilitation and Nursing Center exposed a facility-wide breakdown in basic safety protocols.
Her condition was complicated by depression and medication side effects that made accidents more likely.
"Resident attempted to feed a horse during activities, but was accidently bit on the left 4th digit," nursing notes from the day stated.
The violations centered on the facility's failure to follow its own policies requiring annual flu shots and pneumococcal vaccinations for all residents.
Resident #2 was supposed to receive 14 different medications at 9 AM that morning.
When inspectors arrived at Tarzana Health and Rehabilitation Center on November 21, they found the lobby's Temperature Control Box 2 switched off at 9:45 a.m.
Licensed Vocational Nurse 3 administered hydralazine to Resident 4 on November 8, 2025, at 9 p.m., despite the resident's blood pressure measuring 100/67 mmHg.
Without these supplies within arm's reach, any bleeding emergency could turn deadly while staff scrambled to locate equipment.