The citation, issued September 4, 2025, covered the facility's failure to maintain an adequate program to prevent or address mice, insects, and other pests.
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Not a medication scheduling lapse.
The inspection, completed August 29, 2025, examined a complaint about the facility at 297 Stoner Avenue.
The citation, issued under a regulatory category covering quality of life and care, is the kind that rarely makes headlines.
Inspectors cited the facility on August 29, 2025 for failing to provide appropriate pressure ulcer care and failing to prevent new ulcers from developing.
The result was an injury that inspectors classified as causing actual harm, not merely potential harm.
The citation was one of 13 deficiencies inspectors documented during the August 29 complaint inspection.
Without a complete care plan, nurses and aides are working without a map.
The inspection found the deficiency was isolated in scope.
Inspectors determined the facility had not met that requirement.
Inspectors classified the violation under the resident rights category, a designation that reflects something beyond a paperwork failure.
Respiratory care failures carry a particular weight in a post-acute setting.