Nursing Home News — Page 16

It is not a paperwork violation.

That instruction went unheeded.

Federal inspectors who visited Chulio Hills Health and Rehab on May 22 found that nurses there were not making those calls.

The restorative nursing assistants, called RNAs, were supposed to circle back.

The deficiency was one of nine violations inspectors documented during a complaint inspection completed on May 22.

The resident, identified in inspection records only as Resident 31, had an amputation of the left lower extremity.

That someone else was a Licensed Practical Nurse.

Aperion Care Forest Park sits at 8200 West Roosevelt Road, a long-term care facility operating under CMS provider number 145969.

The wound was over the resident's sacrum, the bony plate at the base of the spine, one of the most common and dangerous sites for pressure injuries to develop.

The resident, identified in inspection records only as Resident 5, was admitted to Marquis Tualatin Post Acute Rehab in February 2026 after suffering a stroke.

The finding was straightforward.

Federal inspectors arrived at the facility at 1170 Chulio Road on May 22, 2026, responding to a complaint.