Federal inspectors documented the failure in August 2025 at the state-run nursing home on Veterans Drive, a facility that serves Montana's military veterans.
Nursing Home News — Page 105
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She could communicate what she wanted.
The incident happened on July 30, 2025.
They found Inland Valley falling short on all of it.
Pressure ulcers, sometimes called bedsores, develop when sustained pressure on the skin cuts off circulation to vulnerable tissue.
Inspectors cited the facility for failures in how it procured, stored, prepared, distributed, or served food to residents.
The inspection took place on August 19, 2025.
That distinction matters in a skilled nursing setting.
The facility had written its own policy on exactly this situation.
The citation, issued August 19, 2025, targeted the facility's infection prevention and control program.
The inspection, completed August 19, 2025, was triggered by a complaint.
The therapist, identified in the report only as OT #2, was pulled from work on May 26, 2025, the day after the incident came to light.