Resident 61 reported what they saw immediately to the administrator.
Nursing Home News — Page 545
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He returned the next day with antibiotics for cellulitis and packing that was supposed to remain in place for 48 to 72 hours.
The October 2nd violation occurred during morning wound care for a diabetic resident with open toe wounds on both feet.
The medication error at Eventide Fargo represented a pattern federal inspectors documented during their September visit.
The facility was cited under **regulatory tag F0880** for failing to provide and implement an adequate infection prevention and control program.
Staff documented on the treatment administration record that they collected the urine sample on April 25.
The citation represents the most severe level of nursing home violations under federal law.
Federal inspectors discovered the infestation on November 19 at 10:20 AM.
The facility reported correcting the deficiency as of **December 1, 2025**, approximately two weeks after the inspection concluded.
The resident, identified only as R1 in inspection records, has lived at The Pearl of Rolling Meadows since November 2018.
Multiple interviews revealed staff routinely ignored the resident's transfer requirements.
The resident told inspectors on November 24 that "the floor needed swept and mopped" when they observed the unsanitary conditions at 11:47 a.m.