The violation surfaced during a complaint inspection on October 15, 2025.
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The resident was admitted on July 14, 2025.
Blue Mountain Care Center did not meet that obligation.
The facility's own director of nursing confirmed it: LPN #1 should not have been the one contacting the physician directly.
The inspection, triggered by a complaint, was completed on October 15, 2025.
The inspection was triggered by a complaint, not a routine survey.
That finding is documented in a complaint inspection completed October 16, 2025.
That gap, inspectors found, put at least one resident in immediate jeopardy.
The inspection was triggered by a complaint, not a routine survey.
The citation fell under what regulators call resident rights deficiencies, a category that covers the basic premise of nursing home care.
The incident at BRIA of Godfrey came to light through a complaint inspection completed October 15, 2025.
The incident involving Resident #94 was never reported to the Ohio State Survey Agency.