The resident, identified only as Resident #10 in federal inspection records, was admitted to the facility on a date the report does not specify.
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The resident walked out of the facility sometime during the overnight hours of August 16, 2025.
The verbal abuse occurred on August 8 at 4:01 p.m.
Another hospice patient fared worse.
The inspection was a complaint investigation.
The incident occurred when Licensed Nurse 1 was repositioning Resident 4 to change wound dressings on his coccyx.
The family called West River Health Campus to notify staff of the fall on August 2nd.
The missing narcotics belonged to Resident #1, whose card of 10-milligram oxycodone tablets disappeared after their death.
Then he reached into her brief and touched her vaginal area.
The facility's own records showed this person had anoxic brain damage, epilepsy, generalized anxiety disorder, depression, and impaired decision-making.
The next morning, June 2, the resident left the facility by ambulance, unresponsive.
The cart held Resident 2's levothyroxine for thyroid function, losartan potassium for blood pressure, levetiracetam for seizures, and meclizine for nausea.