Inspectors completed their complaint investigation on September 24, 2025.
Nursing Home News — Page 227
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A cognitive assessment conducted earlier this year gave him a score of 15 out of 15, the highest possible, indicating no impairment.
The resident left the facility three days later, on August 12, with the hand still unexamined by a physician, still unimaged, still undiagnosed.
It happened again three weeks later.
Instead, a licensed practical nurse checked a blood pressure reading, declared the resident dead, and told staff to clean the body.
The resident, identified in inspection records only as Resident M, is cognitively intact.
That account came from a licensed practical nurse identified in inspection records only as Staff C.
By the time staff finally sent her to the hospital, she couldn't move her left arm either.
The violation, tagged F0698, was rated as causing minimal harm or potential for actual harm and affected a small number of residents.
The resident, identified in inspection records only as Resident C, raised the head of her bed using the remote control.
The driver never called the facility to report what had happened.
The resident, identified in inspection records only as R1, was admitted to Care and Rehab Cumberland on palliative care.