Federal inspectors found that Leisure Homestead at Stafford violated notification requirements during a complaint investigation in August.
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Staff A, a registered nurse, was preparing dronabinol for Resident 1 when the inspector arrived on August 13.
The resident explained the routine to inspectors: "That's my Mucinex.
RN G parked his medication cart in the hallway outside the resident's room at 11:38 AM and gathered supplies for the blood sugar test.
Resident 210 was supposed to receive Phos-NaK oral packets four times daily starting in late summer.
Federal inspectors observed Licensed Practical Nurse #35 at Heritage Health Care Center preparing morning medications for Resident #21 at 8:51 a.m.
The medication discrepancy at Mesquite Village Wellness & Rehabilitation emerged during a complaint inspection completed August 21, 2025.
Resident #1's skin assessment was due on August 13, 2025.
His stroke had left him with hemiplegia affecting his right dominant side, and he also suffered from atrial fibrillation and morbid obesity.
The family member submitted the records request on August 15th.
Federal inspectors documented the unsanitary conditions during an August 18 visit to Livingston Manor Care Center, which serves 31 residents.
The documents didn't exist in the designated binder at the nurse's station.