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Nursing Home News — Page 459

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Inspection
Kalkaska Memorial: 8-Hour Delay Notifying Family - MI

The incident occurred at Kalkaska Memorial Health Center on October 5, when Resident #3 slipped off the edge of his bed at 10:45 PM.

Inspection
Sunset Manor: Mail Delayed Months for Residents - CA

During interviews with facility staff, the Social Service Director admitted she didn't know when the mail actually arrived at the facility.

Inspection
Legend Oaks: Daily Staffing Info Not Posted - TX

Federal inspectors found the facility's Direct Care Daily Staffing Numbers still showed November 11 when they arrived at 8:51 AM on November 12.

Inspection
Carlyle at Stonebridge Park: Medication Delays - TX

Resident #1 told federal inspectors in October that she experienced "some confusion with her medications at the facility" following her September admission.

Inspection
San Rafael Nursing: Blood Pressure Fraud Risk - TX

Assistant Director of Nursing A provided even more alarming details about the potential consequences.

Inspection
North Star Ranch: Expired Food Handler Certificate - TX

The facility hired her on July 17, 2025, meaning she worked the entire duration of her employment without valid certification.

Inspection
Grace Pointe Wellness: Illegal Discharge Notice - TX

During interviews with federal inspectors in September, he initially said he had emailed a copy of the discharge notice to the ombudsman.

Inspection
Ellison John Care: Missing IV Records Risk Patient - CA

The Ellison John Transitional Care Center admitted the 28-year-old resident on October 28 with cellulitis in his lower leg, colon cancer, and heart failure.

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