Instead of launching an investigation, the social services director called police on the complaining family member.
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The devices were not part of facility policy, yet had been present at the 128-bed facility for an unknown period.
Resident 2 died 41 minutes later.
The dietary manager told inspectors she routinely propped the kitchen door open to take trash to an uncovered dumpster 25 feet away.
R34 yelled out and R63 removed his hand.
She fell, fracturing her right femoral head and requiring a hip replacement the next day.
When inspectors checked her medication cart that morning, they found a sealed bottle of Creon labeled for the resident with a pharmacy fill date of January 6.
"I usually kept a close eye on Resident 53, as she liked to wander," Staff A told inspectors.
Licensed vocational nurse LVN 6 discovered the expired fluticasone/salmeterol inhaler for Resident 22 during the inspection on July 24.
The incident at Rockcastle Health & Rehabilitation Center involved a resident with multiple sclerosis who had lived at the facility since 2016.
The resident was allergic to penicillin and aspirin.
The violation occurred when the facility failed to provide accurate acquiring, receiving, dispensing and administering of drugs to meet resident needs.