Federal inspectors documented the violation during a complaint investigation at PruittHealth - Laurel Park.
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Staff member 47 admitted during a December 30 interview that she knew Resident 1 had recently eloped from the facility.
The most serious lapses involved Xifaxan, an expensive medication used to treat bacterial infections and hepatic encephalopathy.
Upon admission, doctors prescribed Risperidone, Divalproex, and Trazodone — a combination used to manage aggression, mood instability, and agitation.
The physician had ordered the device back in July.
The resident, identified in the inspection report as Resident 1, had been admitted to TLC Care Center at 1500 W.
The facility's own security video recorded the exit.
This classification suggests the documentation failures affected a limited number of residents rather than representing a systemic facility-wide problem.
The resident, identified in inspection records as Resident 20, has spastic movements he cannot control.
The resident arrived at the facility on December 10.
The incident happened on December 8, 2025, at Terrace View Long Term Care Facility.
This classification signals to regulators that the problems were widespread enough to affect multiple residents or multiple aspects of the protective system.