The citation, issued under F0689, is one of the more consequential tags inspectors can assign.
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That is what federal inspectors found at Jerseyville Nursing & Rehab Center following a complaint inspection completed in November 2025.
All eighteen coffee mugs had loose food particles and a removable brown film coating the inside.
The resident fell sometime before October 26, 2025.
She had a Wander Guard on her right wrist.
That is what federal inspectors documented during a November 10 complaint inspection at the facility.
It took two staff members and a Hoyer lift to get the resident off the floor.
The resident, identified in inspection records only as R1, had been assessed as an elopement risk.
And during those bed baths, she said, she did not wash R2's hair.
Federal inspectors cited the facility for actual harm to residents following a complaint inspection completed November 5, 2025.
The inspection was triggered by a complaint.
For reasons that not one person at Anoka Rehabilitation and Living Center could explain to inspectors, it was never used.