Episode Details

A Visalia nursing facility faces a $120,000 fine after an 80-year-old patient died from toxic levels of chemotherapy medication due to repeated dosing errors. The drug, methotrexate, was meant to be given once weekly at 20mg, but staff failed to follow protocol, ignoring automated alerts and missing critical signs of toxicity. The patient, admitted with arthritis and breathing issues, suffered kidney failure and painful sores before dying in January. An unannounced state inspection revealed systemic failures, including staff confusion and lack of oversight. The facility, owned by Sweetwater Care—a company with prior legal issues—is still under investigation.

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