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Clearwater Nursing & Rehab: Abuse Probe Failures - KS
That incident was one of two separate resident-to-resident abuse episodes at Clearwater this summer....
Latest reports, citations, and penalties from CMS data
That incident was one of two separate resident-to-resident abuse episodes at Clearwater this summer....
Federal inspectors classified the incident as Immediate Jeopardy....
When inspectors toured the kitchen on September 17, a fly was observed circling the room....
The dates, confirmed by the facility's own administrator during a September inspection, were April 20, April 26, May 11, May 18, May 31, and June 21, 2025....
Both were documented as given at 9:57pm....
That is what federal inspectors found when they arrived at Arcadia Care Toulon on September 17, 2025....
Six months later, a federal inspector asked the same question....
The medical director explained to inspectors why he wrote the order in the first place....
on September 12, inspectors entered the room of Resident 2 and found a couch with multiple dark stains across the seat cushion....
The resident is identified in inspection records only as Resident K....
That gap was at the center of a complaint inspection completed September 18, 2025....
What happened next â or rather, what didn't happen â is the subject of a complaint inspection completed by Illinois regulators in September 2025....
The facility's own investigation concluded that metal on the bed caused the injury....
The administrator and director of nursing told inspectors they were unaware any of it had happened....
A federal assessment from August 2025 documented him as cognitively intact, with no delusions or hallucinations....
Staff did not know the resident had left until they were contacted by the police department....
The resident, identified in inspection records only as R1, was documented as severely cognitively impaired....
The facility's floor-scrubbing machine was broken....
That admission came on September 18, 2025, when state inspectors visited Hardin Home following a complaint....
A resident had a seizure, and her physician and family weren't notified until after the fact....