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The violation was cited at a level of minimal harm or potential for actual harm.

The categories of incidents that triggered the citation were not minor administrative oversights.

The medication was Percocet, an opioid prescribed for pain.

By the time inspectors arrived five months later, the resident was still at the psychiatric hospital.

That gap in paperwork is now the subject of a state complaint inspection completed April 27, 2026.

That finding sits at the center of a complaint inspection completed April 27, 2026, at the facility.

The roaches had been there before the inspection started.

The resident, identified in inspection records as R43, had been at the facility for less than a month when the incident happened.

It covers physical abuse, mental abuse, sexual abuse, physical punishment, and neglect, by anyone, including staff, visitors, and other residents.

The citation was classified as causing actual harm.

Inspectors walked through with the facility's administrator the first time, confirmed what they saw, and left.

The nursing assistant, identified in the report as NA #1, was present.