Resident #1's family had to bring an ultraviolet insect trap to his room in August 2025 because of the ongoing insect problem.
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The treatment began at Northern Riverview Health Care on August 30, 2025, after a family member reported that the resident's right eye appeared red.
Resident #6 was eating lunch on June 5, 2025, when they lifted the chicken from their plate and discovered mushrooms underneath.
One involved a resident identified as #45 who missed IV antibiotic doses following a partial finger amputation.
Federal regulations require nursing homes to involve residents and their representatives in discharge planning and provide proper notice before transfers.
Instead, CNA A closed the door and positioned themselves in the hallway outside.
The theft occurred on June 17, 2025 at Blue Springs Wellness & Rehabilitation during the routine controlled substance count that happens when shifts change.
The violence erupted when Resident #3 accused Resident #2 of stealing his $3.
Federal inspectors found two residents with pressure injuries received care without proper protective measures.
But the actual paperwork spelling out resident rights, payment obligations, and facility policies went unsigned for three to nine days.
The violations centered on Resident #1, who missed critical medications on multiple occasions between January 7 and January 11.
The resident missed doses of hydrocodone on November 14 and November 15, according to federal inspectors who investigated the facility following a complaint.