Resident #77, who has cognitive impairment, was found with bruising on her hand.
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The worker, identified as V15, was terminated from Parkshore Estates Nursing & Rehab after being caught sleeping on duty for the second time.
Federal inspectors found the facility failed to maintain adequate certified nursing aide staffing on night shifts for months.
The contradiction appeared in documents dated just one day apart in May 2025.
Federal inspectors found the misdiagnosis placed the resident at risk for wound deterioration.
Staff witnessed the destructive behavior repeatedly.
Two residents required hemodialysis three times weekly through surgically implanted chest catheters.
His blood pressure was dangerously low when responders found him.
As Resident 1 walked down the corridor, she extended her right arm, blocking his passage.
The resident at Lakeside Health and Wellness told inspectors he had been receiving "baby food for a while now" when they observed his lunch on November 19.
The first resident was found on the floor and later developed blood in his catheter bag.
The friend found the pills during a visit and immediately alerted nursing staff.