Inspectors classified it as an isolated violation.
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That sequence, documented by state inspectors at Cypress Ridge Care Center following an April 2026 complaint investigation, played out more than once.
The resident had trauma in her past.
She then walked with the inspector to the bathroom and was asked to demonstrate.
The resident told inspectors that staff dressed the wound for only the first couple of days.
Nursing staff were walking the halls every 15 minutes, looking for smoke.
The students were still enrolled in training.
One resident said she could not recall being introduced to her new roommate before the move happened.
Federal inspectors visited the facility on April 24, 2026, and conducted a kitchen tour at 12:34 in the afternoon.
Inspectors classified the violation as isolated, meaning it did not appear to be happening across the board.
The facility has submitted no plan to correct any of them.
The Director of Nursing, interviewed by inspectors on April 23, was direct about what the practice represented.