The Centers for Medicare & Medicaid Services has saddled a Washington state nursing home with a $117,000 fine after it allegedly failed to adequately treat a resident’s pain.

Charges stem from a May inspection of the Bainbridge Island Health and Rehabilitation Center, in Western Washington. In one of several instances tied to the penalty, a resident on hospice “experienced pain almost constantly,” surveyors said. But staffers tapered down his opioid doses and refused his requests to up the ante, the Kitsap Sun reports.

The resident eventually told staff he wanted to get sick enough to return to hospice, the newspaper reported. Surveyors noted that Bainbridge had no record of working with the resident and his physician on a pain treatment plans. They also said they found the nursing homes did not fill other residents’ opioid prescriptions in a timely manner, leading to missed doses and bouts of pain.

Adam Canary, the nursing home’s administrator, tells the newspaper that it disputes the charges and plans to appeal. “The facility does not agree with either the stated deficiency or the assigned scope of severity,” he said.

Though it’s not admitting any wrongdoing, Bainbridge Island Health and Rehab Center is also reviewing its pain management plans with residents and checking each individual’s pain levels four times a week, according to the newspaper.