Both had received a medication administration evaluation, a separate form, but nothing beyond that.
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The resident, identified in inspection records only as R1, had been mostly bedridden at Oak Ridge Care Center since hip surgery in May 2025.
Federal inspectors, who arrived on October 22, 2025, disagreed.
The son told inspectors he had no idea how to apply for it.
The resident, identified in inspection records only as Resident 102, lived in the facility's memory care unit.
Federal inspectors declared immediate jeopardy on October 17, 2025, following a complaint inspection at the facility at 435 East Henrietta Road.
What she got instead, in at least one resident's case, was none of that.
The citation affected many residents, according to the inspection report.
She confirmed she never documented an assessment of the wound on September 11.
Federal inspectors documented the incident during a complaint inspection on October 29, 2025.
For patients who depend on it, dialysis is not optional and it is not something that can be paused for nearly two weeks without consequence.
The first order came on September 17, 2025.