Nursing Home News — Page 676

The resident, identified in inspection records as Resident 69, had vascular dementia and an anxiety diagnosis.

She had asked earlier that day about switching rooms.

The resident, identified in inspection records only as Resident 1, was already bleeding when the medication error occurred on the evening of July 17, 2025.

The resident, identified in federal inspection records only as Resident B, requires a Hoyer lift for all transfers because of her medical condition.

The finding carried the most serious designation available under federal nursing home oversight: immediate jeopardy to resident health or safety.

Inspectors reviewed activity of daily living records covering June 23 through July 7, 2025.

That was the Director of Nursing's position when federal inspectors arrived at Magnolia Creek Nursing and Rehabilitation this past August.

The resident, identified in inspection records only as R2, had someone place a call to her nurse on the morning of June 28, 2025.

That is what federal inspectors found when they arrived at Hillsboro Health and Rehabilitation Center on August 12, 2025, responding to a complaint.

Whether any of those drugs actually reached the resident that morning, nobody at Astoria Place Living & Rehab could say.

The second elopement happened on May 13, at 7:45 in the evening.

The unit manager, Nurse #7, walked in and took in the same scene.