That is what the resident told inspectors three days after it happened.
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An unstageable wound is one so covered in dead tissue or slough that its full depth cannot be determined.
Copies went to her, to the director of nursing, and to the office manager who handled scheduling.
Federal inspectors cited the facility under F0812, a food safety tag that covers the chemical sanitizers used on surfaces where food is prepared and served.
Nothing had ever been done about it.
The inspection, conducted July 10, 2024, was triggered by a complaint, not a routine survey.
Twenty minutes later, the man was dead.
Because the jeopardy period had already ended by the time inspectors completed their 2025 review, the citation was recorded as past noncompliance.
Then inspectors asked her about it directly.
The facility submitted a plan of correction.
The administrator and the director of nursing were in the room.
When a cook tested the machine on February 11, 2025, the test strip came back blank.