The March 9 incident at McCormick Post Acute involved two residents with severe cognitive impairment.
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Resident 40 fell from his wheelchair at 10:40 p.m.
The roommate, Resident #26, told inspectors the precaution sign was meant for Resident #40 because of wounds on that resident's legs.
The broken equipment displayed "Error" scrolling continuously across its electronic screen.
She requires a suprapubic catheter due to urinary retention and is always incontinent of bowel and bladder.
Resident 1 was last seen walking around Station 6 at 8:04 pm on February 19.
In each case, facility leaders acknowledged the incidents constituted abuse but claimed they didn't recognize their reporting obligations.
The February 4 incident at Carver Living Center triggered immediate jeopardy findings from federal inspectors.
The facility's assessment, last reviewed November 29, 2024, stated only that the nursing home has 37 beds and an average daily census of 36 residents.
Portable cooling units couldn't keep up when outside temperatures rose the next day.
Between August and December 2024, R43 fell repeatedly while seeking toileting assistance.
Resident 55 was admitted in December with functional quadriplegia and metabolic encephalopathy.