The medication errors weren't isolated incidents.
Nursing Home News — Page 660
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The February 25 incident exposed multiple safety failures at the 100-bed facility, according to a federal inspection report.
Resident 119 had been living at the facility since May 2017 with diagnoses including Alzheimer's disease, dementia, osteoporosis, and difficulty swallowing.
Despite this, nursing staff continued documenting dialysis care tasks from July 1 through July 8.
R12, a hospice patient with vascular dementia, fell on September 12, September 26, and December 11.
The aide was caring for Resident #30 when federal inspectors arrived at Complete Care at Brick in May.
The facility's own policy required watching for anorexia, confusion, lethargy, and severe constipation from opioid medications.
Resident 530 lay in bed awake when inspectors visited her room at 1:30 PM on January 6.
Video surveillance captured the entire attack, but the weapon has never been found despite facility-wide searches.
The nursing assistant nudged the resident.
"I told [LPN A's name] he wasn't breathing," CNA B wrote in a statement.
On December 3, 2024, nurses documented that R36 was confused with no verbal response to questioning.