Macgregor Downs Health Center: Discharge Without Physician - NC
The resident at the center of this, identified in inspection records only as Resident #129, is both visually and hearing impaired....
Latest reports, citations, and penalties from CMS data
The resident at the center of this, identified in inspection records only as Resident #129, is both visually and hearing impaired....
The inspector watched the scene unfold at 1:13 in the afternoon....
Federal inspectors who visited Bentleys Extended Care on April 29 and 30 found the facility had been running the arrangement for at least two years....
The pattern ran across at least six days in April 2026, according to a complaint inspection completed April 30....
When the peanut butter container hit the floor, C-A picked it up and continued....
The readings on March 26 and April 20 both crossed that line....
The resident, identified in inspection records only as R4, was cognitively intact....
The facility, Optalis Health and Rehabilitation of Dearborn Heights, had a system in place....
The resident, identified in inspection records only as Resident #102, is a man with right-sided paralysis following a stroke....
For Resident 1, the care plan meeting took place February 19, 2026....
The resident, identified in inspection records only as R120, arrived at the facility with a pressure ulcer already forming near the tailbone....
The aide, identified in inspection records only as DA #51, lost his job....
The resident was transferred to the hospital on March 16....
The incident happened on December 27, 2025, at 8:12 in the morning....
Clean sheets, towels, blankets, and washcloths were folded on a table directly beside machines whose doors stood open....
He couldn't always say what he needed....
The incident happened on April 9, 2026, at 8:32 in the morning....
What they found was not just a staff member who kicked a helpless resident....
The nurse, identified in inspection records as V2, recognized the problem when the resident came in without scripts....
The deficiency was classified under resident rights, a category that covers the basic protections nursing home residents are entitled to by law....