That finding sits at the center of a complaint inspection completed at Royal Vista Care Center in late April 2026.
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The medication was Tramadol, a controlled substance.
The citation, issued April 29, falls under one of nursing home oversight's most fundamental categories.
The resident, identified in inspection records only as R2, had been receiving IV antibiotics through a midline catheter.
Federal inspectors cited the facility following a complaint inspection on April 29, 2026.
The resident, identified in inspection records only as Resident #94, came to the facility's transitional care unit with the injury already documented.
The accused aides clocked in and out as normal.
The resident, identified only as Resident 2 in inspection records, was admitted to the facility and assessed for elopement risk on March 13, 2026.
Inspectors reviewed medication administration records for February, March, and April.
They said they had no way to file a grievance without putting their names on it.
The Activity Director noticed the bruising on April 7, 2026.
The incident at Medicalodges Neosho on April 25, 2026, was documented in a complaint inspection completed that same day.