The resident had a urinary tract infection.
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That is what federal inspectors found when they visited Signature Healthcare of Muncie on October 24, 2025.
When inspectors arrived on October 21, they asked a nursing assistant about the pillows.
Resident C is cognitively intact.
Her wheelchair had no foot pedals.
Nobody had written an order for the bracelet.
It means inspectors concluded that what happened had already caused, or was likely to cause, serious injury or death.
The Director of Nursing confirmed to inspectors that the facility knew the medication was ordered and simply didn't have it in stock.
The resident, identified in inspection records only as Resident B, was in the late stages of Alzheimer's disease.
The incident happened on October 2, 2025.
The resident on the floor was identified in the report as R1.
The administrator, identified in the inspection report as V1, did not dispute what had happened.