Latest reports, citations, and penalties from CMS data
That is what federal health inspectors documented when they arrived at the Tacoma nursing home on September 15, 2025, responding to a complaint....
It was one of 12 deficiencies cited during the inspection....
The deficiency fell under the category of freedom from abuse, neglect, and exploitation....
One of those citations, logged under the nutrition and dietary category, found that the facility was failing to properly dispose of garbage and refuse....
When she fell, the facility was required to add to her care plan and update it to reflect what had happened and what needed to change....
The citation came out of a complaint investigation at Lake Village Nursing and Rehabilitation Center, conducted on September 16, 2025....
The facility's own policy required that training to happen at orientation....
Inspectors classified the level of harm as minimal harm or potential for actual harm, and noted that few residents were affected....
The deficiency was one of seven cited during the inspection....
The resident, identified in inspection records only as Resident #5, has a cervical spinal cord injury and quadriplegia....
The administrator, confronted with the observation, did not dispute it....
The deficiency was documented during a complaint inspection on September 16, 2025 at the facility on Fleming Street....
That finding, logged under infection control, was categorized as isolated with no actual harm documented....
State inspectors had cited Mountain View for the identical deficiency on May 2, 2025....
The gait belt requirement at Windmill Manor is not new....
The facility's own policy, last reviewed November 21, 2024, described a resident-centered approach to safety built around individualized care....
It is not a designation regulators apply routinely or lightly....
That distinction matters less than it might appear....
The citation, issued September 16, 2025, is the only substantive finding available from the inspection record....
Person-centered care planning is not a formality....