The shredding continued until the facility's administrator finally told her to stop in October.
Nursing Home News — Page 525
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That silence is at the center of a federal complaint inspection completed December 31, 2025, at the Warsaw nursing home.
The resident, identified in inspection records as R9, had just arrived from the hospital and was reporting pain at a 9 out of 10.
Federal inspectors witnessed the December 17 incident at Shady Grove Nursing and Rehabilitation Center during a complaint investigation.
The facility's own correction plan tells the story of how far behind things had gotten.
The December 22 inspection at Haven of Flagstaff revealed controlled substance diversion involving two residents.
The milk registered 54 degrees Fahrenheit.
Inspectors reviewed falls at the facility to determine whether any had resulted from staff failing to implement what the care plans specified.
The citation, classified as having minimal harm or potential for actual harm, affected a small number of residents.
Staff at Callaway Nursing Home never added any of the medications to the resident's orders.
The nursing home is disputing the citation.
The complaint inspection, completed October 29, found that nursing staff failed to properly conduct resident assessments and document their findings.