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Woodruff County Health Center: Accident Harm Cited - AR
The administrator said camera footage was reviewed to ensure compliance....
Latest reports, citations, and penalties from CMS data
The administrator said camera footage was reviewed to ensure compliance....
The facility received **two deficiencies** during the survey, including a violation related to resident assessment and care planning protocols....
In another shower room, dried brown matter was observed on the wall next to a shower chair....
Federal inspectors found the facility had trained staff on proper transfer techniques but the nursing assistant violated those procedures....
That is what federal inspectors found when they visited Big Horn Rehabilitation and Care Center on October 23, 2025, following a complaint....
Federal inspectors flagged the language during a November 2025 complaint inspection, citing it as a violation....
Staff signed medication records showing they dispensed the controlled substance but failed to record administration on required tracking documents....
The inspection was triggered by a complaint....
The facility has not submitted a corrective action plan....
"If there are any blank spaces on the CNA reports, that meant that CNA documentation was not done," CNA #4 said in a telephone interview on October 1....
Nobody interviewed the staff who were present....
The incident occurred on a Friday evening when Staff 3, a certified nursing assistant, discovered the residents together....
The deficiency was classified at **Scope/Severity Level D**, meaning the issue was isolated in nature and did not result in documented actual harm....
## Why Dementia Care Training Is a Federal Requirement Dementia affects a substantial proportion of nursing home residents nationwide....
When inspectors raised the issue, a second CNA, not assigned to R9, took one look and confirmed they needed to be trimmed and cleaned....
At one point, she appears to pop a single pill directly into her hand and then walk into the nurses' station with it....
The x-ray revealed a broken tibia....
A Level G citation confirms that investigators verified real, documented harm occurred â not merely a risk of harm or a paperwork deficiency....
That service then calls around to local pharmacies trying to find one willing to fill the order....
Between May 21 and May 25, 2025, she did not receive four doses of the antibiotic....