A fractured rib and hip. Contusions to the face, neck and scalp. Abrasions and lacerations to the head. Juanita Rack endured all of those and more the last six months of her life in an assisted-living facility on Pasco County’s Trouble Creek Road.

Two weeks after her last fall at La Casa Grande in New Port Richey, 89-year-old Rack quietly died in her bed. But Rack need not have suffered.

In September 2009 — five months before Rack’s death, state healthcare administrators fined the home $1,000 for leaving another resident, a woman with diabetes, in “a life-threatening situation” by allowing her blood sugar to drop to critically low levels. The woman slipped into renal failure before being rushed to a nearby hospital.

The Agency for Health Care Administration could have suspended payments under the Medicaid insurance program to the troubled home. Instead, La Casa Grande received close to a half-million dollars in Medicaid money after the September 2009 lapse.

In the ensuing months, both Rack and another resident suffered grievous injuries, investigators wrote.

“If they had taken the money away, they might have straightened things out,” said Rack’s son, George “Rick” Rack.

On Memorial Day 2009, an elderly woman was rushed to the hospital in a diabetic coma. For days before the woman became critically ill, she had suffered nausea, diarrhea and vomiting, but a nurse at the 242-bed home told family members “it was simply a virus and had to run its course,” a complaint says.

The woman had far more serious problems than a virus: Staff at the ALF had not once checked her blood sugar, despite her diagnoses of diabetes and hypertension, a report said.

By the time the woman was found “unresponsive” at the home, she was in acute renal failure.

AHCA fined the home $1,000, but did not suspend its Medicaid reimbursement.

Seven months later, paramedics returned to the home when 82-year-old Charlene Webb fell on a power cord and suffered severe burns.

She died the next day.

Rack’s ALF and medical records tell a grim story:

June 27, 2009: Rack suffered a hip fracture.

Sept. 4: Rack had a contusion to her face, neck and scalp.

Oct. 13: Rack had a contusion to her forearm.

Oct. 30: Rack fell and injured herself.

Nov. 2: Rack was diagnosed with a bone fracture.

Dec. 3: Rack was found lying on her back on the floor.

Dec. 16: Rack fell and hit her head on the wall. She suffered an abrasion to her head.

Jan. 4, 2010: Rack was found on the floor with a skin tear to her left wrist.

Jan. 7: Rack fell to the floor from her wheelchair and tore skin on her left hand.

Jan. 18: Rack was found lying on her back with a television atop her rib cage. She had a fractured rib.

Jan. 22: Rack was found on the floor after possibly striking her head on her wheelchair. She suffered a contusion to her face, head and neck.

Jan. 23: Rack was found on the floor next to her wheelchair. She showed bruising under her left eye.

Jan. 27: Rack fell out of bed and suffered lacerations and contusions to her forehead.

On Jan. 27, paramedics found Rack laying on the floor next to her bed with “blood on her face” — though ALF staff had not “tended to” her injuries by the time medics arrived.

Though Rack died two weeks after her last fall, her death was never reviewed by a medical examiner. A doctor signed her death certificate, saying she died of natural causes.

In all, AHCA has fined the facility $11,000 since 2007.

But since Jan. 2010, the facility has collected $482,985 in Medicaid dollars.