The inspection, completed March 30, 2026, was triggered by a complaint.
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Entering hospice qualifies as one of those shifts.
She had a physician order dating back to February 3 requiring continuous oxygen at four liters per minute.
pylori gastritis, a bacterial stomach infection.
The resident, identified in inspection records only as Resident 17, came to St.
It wasn't contained to resident rooms.
The facility's own guidelines on physical restraints are cited in the inspection findings.
The inspection, completed March 31, 2026, was filed as a complaint.
That was how the facility operated until the burn happened.
The resident, identified in inspection records only as Resident #29, has lived at the facility since February 2014.
Nobody had told her anything was wrong.
The inspection report does not name the resident who eloped.
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