During the investigation of complaint cases # 40928 and # 41053, it was determined that 30 minute paper observation rounds were late.
During the investigation of complaint cases # 40928 and # 41053, it was determined that medical ordered head injury observation and water logs were not conducted according to orders.
During the investigation of complaint case # 41053, it was determined that 3 out of 3 15 minute observation log entries were late.