Colonial Park Rehabilitation and Nursing Center was supposed to draw blood on April 14 to check vancomycin levels in Resident #1.
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The breadth of the breakdown is notable.
Resident #3 required assistance with toileting and dressing due to "cognitive loss and poor initiation of tasks." Inspectors found her at 5:05 a.m.
Federal inspectors discovered the unsecured cart at 9:08 a.m.
Resident #2 had diagnoses including dementia, anxiety, and obsessive-compulsive disorder.
The medication error occurred during what was supposed to be supervised training at Valley View Villa.
The citation fell under F0600, the federal tag that governs abuse of nursing home residents.
The deficiency falls under the broader category of **Resident Assessment and Care Planning**, a cornerstone of federally regulated nursing home operations.
Inspectors cited the facility under F0657 after reviewing records for a resident identified as R5.
The orders included contact and droplet isolation "every shift for 1 day" and topical Permethrin cream applied "neck to toes" at bedtime.
Red beans sat with a November 5 discard date.
The facility terminated CNA #2 on February 6, 2025, according to an employee memorandum.