Inspectors walked the Dogwood unit on September 7, 2025, just after noon, and checked twelve rooms.
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No resident was documented as having been hurt.
The level of harm was classified as minimal harm or potential for actual harm, and the deficiency affected a small number of residents.
The violation was rated widespread, meaning it wasn't a gap that touched one resident or one unit.
The deficiency was classified as a pattern, meaning this wasn't an isolated slip for a single resident.
The citation, issued September 11, 2025, did not document that any resident had been harmed.
The incident unfolded on February 20, 2025.
The citation, issued September 11, 2025, falls under the category of resident assessment and care planning deficiencies.
The inspection was a complaint visit, not a routine survey.
The deficiency was categorized as widespread, meaning inspectors determined the staffing gaps were not isolated to one unit or one bad night.
The citation, issued September 11, 2025, fell under pharmacy service deficiencies.
The resident, identified in inspection records only as Resident 7, fell on February 27, 2025.