The man's condition did not improve.
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The facility's own director of clinical services later acknowledged that staff should have asked the resident more questions sooner.
The nursing home is disputing the citation.
The citation issued to Helia Healthcare of Energy falls under F0839, a federal deficiency tag tied to the accuracy and completeness of nursing records.
The nurse documented seeing no coughing during the two hours she had been near the resident, identified in inspection records only as R1.
On October 18, 2025, a physician ordered Daptomycin, an IV antibiotic, to be administered at 725 milligrams every afternoon.
That was the scene inspectors documented at Sullivan Healthcare & Senior Living on consecutive days in November 2025.
Incontinence is not a minor inconvenience in a nursing home setting.
The resident, identified in inspection records only as R14, did not know where he was.
Twenty-five residents on that unit could walk or wheel themselves through a door left standing open.
The director of nursing and an assistant director were present for the observation.
Inspectors identified the gap on November 26, 2025, during a complaint investigation at the 209 Merriman Road facility.