"That is dead," the aide told an inspector.
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The inspection was conducted on August 25, 2025, following a complaint.
Staff came running toward the yelling.
That resident had a urinary catheter.
Despite all of that, inspectors noted the resident scored a 15 out of 15 on a cognitive assessment administered in July 2025, the highest possible score.
The violation was classified at Scope and Severity Level D, meaning it was isolated in nature, with no actual harm documented.
None of those omissions were disputed.
That distinction matters less than it might seem.
The deficiency was classified as widespread, meaning the breakdown wasn't isolated to one unit or one patient.
The citation fell under regulatory tag F0804, which covers nutrition and dietary deficiencies.
The resident, identified in inspection records as Resident 202, had eloped from the facility.
The citation, issued August 26, 2025, fell under the category of quality of life and care deficiencies.