The finding was tagged under F0725, which covers sufficiency of nursing staff, and inspectors noted that many residents were affected.
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The resident, identified in inspection records only as R1, had two separate hydrocodone orders.
Her medical records showed a diagnosis of anxiety and muscle weakness.
A stairwell alarm had been blaring in the main lobby while a resident and visitor stood nearby, apparently having a conversation through the noise.
The incident happened on July 14, 2025.
Inspectors visited the facility on August 19, 2025, following a complaint.
The expiration dates on those boxes ran from April 2025 through August 1, 2025.
The resident, identified in inspection records only as R5, had a physician's order for PreserVision, an eye supplement.
The resident, identified in inspection records only as R2, told a federal surveyor on August 18 that she had never been able to get a shower during her stay.
The 30 missing tablets were part of a larger delivery.
The transfers started January 28, 2025, with $100.
The inspection, completed August 14, 2025, was prompted by a complaint.