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The Terrace at Crystal: No Sheets for Bariatric Beds - MN
The residents both have morbid obesity....
Latest reports, citations, and penalties from CMS data
The residents both have morbid obesity....
A nurse told inspectors the medication had been discontinued and the oversight was simply that â it was overlooked....
One resident, identified in inspection records as Resident 71, told inspectors she saw roaches all over her room at night....
Physical therapists who worked with them wrote a clear discharge recommendation: begin a restorative range-of-motion program for both lower extremities....
The inspection was completed June 5, 2026....
Federal inspectors documented the sequence in detail during a June 9 visit to Gables of Boutwells Landing, a nursing facility in Oak Park Heights....
Inspectors visiting the facility on June 8, 2026, watched the morning meal get delivered to residents in rooms 9, 14, 15, and 18....
The April 23 event report noted a wrong dose on April 22....
Inspectors visited the laundry department twice, three days apart....
The patient, identified in inspection records only as Resident 7, was admitted to the facility with a history of stroke and left-side paralysis....
Inspectors reviewed two medication carts and one medication room at the facility....
The resident, identified in inspection records only as R54, had moderate cognitive impairment, used a walker, and depended on staff for most of his daily care....
The woman, identified in inspection records as Resident 34, has Alzheimer's disease....
A federal inspector watched the entire procedure on June 17, 2026....
Neither of those were the problem....
Federal inspectors documented the lapse in a June 2026 report....
Midway through the preparation, the cook walked to a speaker, touched it to turn off the music, then walked back and resumed handling the raw chicken....
She could not be expected to track her own blood sugar or flag a problem herself....
The order covered therapeutic exercise, therapeutic activity, gait training, and caregiver education....
Nobody had been assigned to close the doors....