When a nurse documented his arrival on March 31, she noted he had refused a full skin assessment but mentioned a wound to his buttocks.
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The vial of Aplisol, a solution used to test residents and employees for tuberculosis upon admission and hire, carried an open date of April 10, 2026.
For residents with congestive heart failure, weight is not a bureaucratic checkbox.
All of it happened at Westminster Village, a nursing facility in Bloomington.
Indiana health inspectors documented the omission following a complaint investigation completed in late May 2026.
The incident happened the evening of May 1.
Her care plan authorized her to self-administer her own medications.
The violation came to light during a federal inspection completed May 29, 2026.
The resident, identified in inspection records only as Resident #1, had been admitted to the facility with dementia, depression, and anemia.
Resident 22 was rehospitalized following two physical aggression incidents documented on May 24 and May 26, the inspection report shows.
The incident happened on April 21, 2026.
No call to the nurse practitioner.