The bag belonged to Resident 67, a woman whose colostomy required a one-piece appliance that nursing staff changed every three days.
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The gaps weren't occasional or clustered around a single crisis.
The admission came during a complaint inspection completed May 27, 2026.
When a state inspector walked through the facility's kitchen on May 26, those were the first things she found.
Inspectors found the facility deficient in providing treatment and care in accordance with physician orders and residents' own goals.
Federal inspectors who visited the facility on April 24, 2026, documented the violation and noted that the administrator acknowledged the behavior directly.
The incident involved residents identified in inspection records as Resident 8 and Resident 10.
That acknowledgment came during a federal inspection of Regency Florence, a nursing home at 1951 E.
The nurse who was there when it happened hadn't told the family.
An inspector found the cart unlocked at 9:12 in the morning on April 23, 2026.
The resident, identified in inspection records only as Resident 3, had a physician's order for albuterol nebulization every four hours.
The goal was to maintain what he had left.