The care plan said it shouldn't have.
Nursing Home News — Page 215
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The sign-off sheet for September showed no cleaning recorded on September 1, September 3, or September 4.
The citation, issued September 4, 2025, fell under the federal pharmacy services category that governs how nursing homes handle drugs and biological products.
Federal inspectors visited the facility at 1100 East Montclair on September 4, 2025, responding to complaints filed under case numbers 2572449 and 2586807.
The violation fell under the category of resident assessment and care planning deficiencies.
Inspectors classified the problem as widespread, meaning it was not isolated to a single wing or a handful of residents.
The inspection record, as released, is largely incomplete.
The citation falls under federal pharmacy service standards, which require nursing homes to keep medication error rates below five percent.
Nurse aides are the people who bathe residents, turn them in bed to prevent pressure wounds, help them to the toilet, and notice when something looks wrong.
It was one of 38 deficiencies documented across a single inspection visit.
The facility's own written policy described exactly what was supposed to happen.
The admission came on September 3, 2025, during a complaint inspection at the facility at 3702 Cove View Blvd.