The citation, issued to Mirage Post Acute on August 21, 2025, identified a breakdown in how staff documented medication administration.
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The resident, identified in inspection records only as R1, had ordered treatments with triamcinolone, a corticosteroid cream used to treat skin conditions.
The inspection, conducted August 13, 2025, was triggered by a complaint.
Federal inspectors cited Award Care at Beneva, located at 741 South Beneva Road, following a complaint inspection completed August 13, 2025.
Both failures contributed to actual harm.
One of those deficiencies involved the facility's pharmacy services.
The violation, categorized as a pattern rather than an isolated incident, means the problem was not confined to a single resident or a single moment.
Not how many the facility advertises in its brochure.
The mattress had been set for a weight interval of 220 to 290 pounds.
The citation at Lorien Health Systems Mt Airy, issued August 13, was one of nine deficiencies inspectors identified at the facility during the same visit.
The deficiency was one of 13 cited during the inspection.
The incident at Accura Healthcare of Pomeroy happened on a Sunday night.