Federal health inspectors visited the facility on August 28, 2025, responding to a complaint, and left with 16 deficiencies on record.
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The violation was rated widespread, meaning the problem was not limited to a single resident or a single interaction.
The citation fell under F0641, a federal tag requiring that each resident receive an accurate assessment.
Inspectors conducted the complaint inspection on August 28, 2025.
That omission is the finding at the center of a complaint inspection completed August 28, 2025, at the 711 Academy Road facility.
The pressure ulcer citation, issued under a category covering quality of life and care, was classified as a pattern of deficiency.
It was one of two deficiencies cited during the visit.
Inspectors classified the violation as isolated, meaning it did not touch every resident in the building.
No actual harm was documented, though inspectors concluded the potential for more than minimal harm was real.
The complaint inspection was conducted on August 28, 2025.
The citation, issued August 27, 2025, falls under a category of resident rights deficiencies.
Room size requirements exist for a reason that anyone who has spent time in a small space can understand.