The deeper problem wasn't the heel protectors on the floor.
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Nobody reported it to the state.
When the resident's family asked about the money and jewelry months later, none of it was there.
When state inspectors arrived on April 28, 2026, the Director of Therapy told them directly: she had missed the deadline.
What they found was a facility that had failed to provide basic care and assistance to residents who could not perform activities of daily living on their own.
Inspectors documented the scene at 11:45 a.m.
The problem had lasted roughly a week before a repair was made, and even after that repair, temperatures remained below an acceptable threshold.
The concierge at the front desk saw Resident R125 walk out of the building with a visitor.
That was one item on a longer list.
The resident, identified in inspection records as Resident 156, has lived at the facility since 2014.
The violation affected some residents, according to the inspection report.
When he looked more closely, he found the reason.