Nursing Home News — Page 230

That resident, identified as R6 in federal inspection records, later told surveyors the experience made them feel helpless.

The wound had been there for weeks.

The fall happened at approximately 1:30 AM.

The facility had no one else designated to fill it.

Inspectors assigned the highest level of harm designation available under federal oversight: immediate jeopardy to resident health or safety.

When inspectors arrived at Envive of Sullivan on September 29, 2025, they were responding to a complaint.

Federal inspectors visited the facility on September 30, 2025, responding to a complaint.

Inspectors documented the failure following a complaint investigation completed September 30, 2025.

The "many residents affected" designation is not a bureaucratic formality.

Federal inspectors cited Waters of Georgetown following a complaint inspection completed September 26, 2025.

The next afternoon, black flies were circling the kitchen while staff prepared pureed and mechanical soft meals for the dinner service.

That same day, the nursing assistant was suspended pending the outcome.