Inspectors classified it as an isolated problem, meaning they identified it in a limited number of cases rather than finding it spread across the facility.
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The deficiency, one of six cited during the complaint inspection, fell under the category of nutrition and dietary failures.
That is, by design, the floor of concern.
The deficiency was one of seven cited against the facility during the same inspection.
That is, in full, nearly everything the public record shows.
Federal inspectors arrived at the facility at 10101 Northeast 120th Street on August 29, 2025.
Federal health inspectors cited the facility on September 4, 2025 for failing to honor residents' right to voice grievances without discrimination or reprisal.
The violation was one of 12 deficiencies documented during a complaint inspection conducted on September 2, 2025.
The deficiency was cited at the level of actual harm.
No resident was documented as harmed.
The resident was trying to get up without calling for help.
The facility was not providing admission packets to residents at the time they moved in.