By the time they found out, they were already standing in a hospital room.
Nursing Home News — Page 873
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The incident occurred at Harrison Healthcare Center when a family member wanted Resident B to receive morphine from Resident E's bottle.
The violation was classified as Scope/Severity Level D, indicating an isolated incident with no documented harm but significant potential for adverse outcomes.
The incident was documented in a complaint inspection completed January 29, 2026.
Staff failed to verify the placement of one resident's fentanyl patch during first shift on September 12, 2025.
Federal inspectors visited the Morrison, Illinois nursing home on January 29, 2026, following a complaint.
The facility's own records told a fragmented story.
She told inspectors she did not feel the staffing level was safe or in the best interest of the residents.
Inspectors documented that the facility's policy, last revised in February 2023, states its commitment to protecting residents from abuse in multiple forms.
The nurse, identified in inspection records only as V21, had already refused to cover an entire hall when it became clear he was alone.
The resident, identified as R2 in federal inspection records, was alert and oriented, communicated his needs verbally, and walked independently using a walker.
That is what a federal inspection at Apopka Health and Rehabilitation Center found in late January 2026.