OPINION
JANE B. STRANCH, Circuit Judge.
Resident 1 ("R1") arrived at Golden Living Center ("Golden") on December 7, 2007 with complex ailments, but oriented, able to feed herself and able to speak. During 18 days in Golden's facility, R1 was sent to the hospital twice with serious medical complications. Following a complaint and investigation, Golden was found to have failed to maintain substantial compliance with federal regulations in its treatment of...
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