She told the inspector she had been hit in the forehead by the weight mechanism of a Hoyer lift while being transferred.
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These include antipsychotics, antidepressants, anti-anxiety medications, and mood stabilizers.
The CNA, identified in inspection records as CNA D, had been accused of abusing a resident during a whirlpool bath.
The discharge happened at 7:30 PM, according to the facility's own Discharge Summary.
When inspectors observed the resident's room at 10:37 a.m., no warning signs were posted on the door or wall indicating special precautions were needed.
The resident confirmed she had been physically grabbed and forced into the shower against her will.
That was one of four medication pass observations federal inspectors recorded at Westwood Specialty Care on the morning of December 23, 2024.
The registered nurse on duty, identified in inspection records as RN5, told investigators she didn't notice EMS until they were already leaving.
Inspectors documented the violation during a complaint investigation completed December 31, 2025.
Pharmaceutical services form a critical component of nursing home care, as most residents require multiple medications for chronic conditions.
State surveyors found medication cart A sitting unlocked outside the nursing station on unit 1 at 11:35 AM on December 22, with no authorized staff in sight.
The resident, identified as R #16 in inspection records, had been admitted to Betty Dare Wellness & Rehabilitation following a fractured left fibula.