Terry Selby had been living at Pacifica Senior Living Santa Fe for less than four months when he fell from his bed one night in September 2015 and hit his head. A small lump formed on the back of his skull, a medical technician at the center noted in a report, but he was returned to bed.

Two weeks later, a worker at the center found Selby, an Alzheimer’s patient in his early 70s, on the floor again, complaining of pain and unable to get up, with bruises visible along his shoulders, back and hips. He was given Tylenol, records show. But he soon stopped eating, rarely spoke and began breathing in rapid, open-mouthed gasps.

On the morning of Oct. 27, nurses found him unresponsive in his bed. He died a few hours later.

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