The resident living with that broken closet, identified in inspection records as Resident 44, moved into the facility in March 2025.
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A formal assessment completed around the time of admission rated the resident as having moderately impaired cognition.
The inspection at Peak Resources-Wilmington, Inc.
The expectation wasn't being met.
That single detail sat at the center of a complaint inspection completed May 22, 2026.
The inspection, completed May 22, 2026, followed a complaint.
CNA A told the resident to "shut the fuck up." The resident said, "make me." CNA A then pushed the resident against the door.
Inspectors with the Indiana State Department of Health visited the facility on May 22, 2026, and found the breakdown firsthand.
The violation sits in a category that sounds administrative until you understand what the monthly pharmacist review actually catches.
She was afraid that if she reported what she saw, the aide, identified as CNA19, might retaliate in a way that cost her a place to live.
That is what inspectors found at Achieve Rehab and Nursing Facility on 170 Lake Street when they visited on May 22, 2026.
The deficiency was cited under New York Code Rules and Regulations 415.12(a)(3), which covers personal hygiene and grooming.