The plan said ten licensed practical nurses were needed to cover a full 24-hour period.
Nursing Home News — Page 168
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That is what inspectors found when they reviewed records at College Pines Health and Rehabilitation on 95 Locust Street during an April 2026 survey.
The resident, identified in inspection records as R101, was admitted with a foam dressing ordered as a preventative measure.
The inspection report does not identify which resident was affected, what the suspected incident involved, or who was alleged to have done what to whom.
Inspectors reviewed facility incident reports, medical records, and interviewed residents directly.
The facility's written process called for a Behavior Management team to convene when a resident showed new or worsening behaviors.
The resident, identified only as R5 in federal inspection records, had moderate cognitive impairment and needed substantial help getting to the toilet.
The resident, identified in inspection records only as Resident #2, has moderate cognitive impairment and is fully dependent on staff for toileting hygiene.
Federal inspectors arrived on April 27, 2026.
Not a word about cleaning them.
R6's diagnoses filled the page.
Inspectors cited the facility on April 29, 2026, after finding that Resident B, admitted earlier that month, had no baseline care plan in place.