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Accura Healthcare of Shenandoah: RN Staffing Gaps - IA
Not a nurse on call from down the hall....
Latest reports, citations, and penalties from CMS data
Not a nurse on call from down the hall....
All six were scheduled for 6 p.m....
She meant to reach a supervisor or colleague who could help her....
The resident, identified in inspection records only as R2, complained constantly of being cold....
He told inspectors the kitchen situation was actually the less serious problem....
The incident happened on March 23, 2025, at Portsmouth Health and Rehab, a long-term care and rehabilitation facility at 900 London Boulevard....
When inspectors asked why the family hadn't been contacted, the Nursing Home Administrator and the Director of Nursing said they weren't sure....
He was admitted with major depressive disorder with psychotic symptoms, unspecified dementia with behavioral disturbance, and generalized weakness....
Immediate jeopardy means the violation placed residents in a situation where serious injury, harm, or death was possible....
Inspectors visited the facility on September 12, 2025, as part of a complaint investigation and walked through four rooms on three different hallways....
The incident happened on April 25, 2025....
The gap ran from May 31, 2024 through August 5, 2025....
The facility is Peach Tree Place, a nursing home at 315 West Anderson Street....
The first couch was in the room of a resident identified in inspection records as R2....
What preceded it was a series of moments in which staff either did not know what they were seeing, did not pass along what they knew, or knew and did nothing....
That's what the facility's own Director of Nursing confirmed to inspectors on September 18, 2025....
She knew it was a change in condition....
Inspectors found that residents, at least a few of them, had been affected....
The citation, tagged F0656 and carrying a harm level of "Immediate Jeopardy," affected what inspectors described as "few" residents....
He saw the resident sitting up on the side of the bed....