Nursing Home News — Page 185

That was the Director of Nursing's own explanation.

That citation, recorded under a category reserved for environmental failures, described a pattern of problems, not a single incident on a single day.

When a resident loses five pounds, the shower team is supposed to reweigh that person the following day to confirm whether the change is real.

That finding, recorded under the pharmacy services category, was designated a pattern, meaning inspectors didn't see an isolated mistake.

Inspectors visited the facility on August 28, 2025, following a complaint.

No actual injury was documented.

One of those 38 citations was for the physical environment itself.

Inspectors classified it as an isolated violation with potential for more than minimal harm, though no actual harm was documented.

At Cedar Hill Healthcare and Rehabilitation Center, federal inspectors found that the facility failed to meet that obligation.

The unit manager confirmed it on the spot.

The citation covered the facility's failure to provide safe and appropriate dialysis services to at least one resident who required them.

The declaration at Villages of Lake Highlands came on August 27, 2025, at 4:43 in the afternoon.