Immediate jeopardy is not a term federal inspectors use lightly.
Nursing Home News — Page 257
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The inspection report offers no further detail.
The resident, identified in inspection records only as Resident #79, sustained a ground-level fall on August 28, 2025.
Inspectors were present in the room on September 11, 2025, and watched the entire thing.
The problem is straightforward: a reading taken while a patient is on oxygen tells you the oxygen is working.
One of those citations covered something basic: the care of residents who cannot control their bladder or bowel, and the management of urinary catheters.
The citation against Spring Creek Nursing and Rehabilitation Center LLC was issued September 15, 2025, following a complaint investigation.
Dental health in nursing home residents is not a minor concern.
The citation, issued September 15, 2025, fell under the infection control category.
The citation, issued September 15, 2025, fell under a dietary and nutrition deficiency category covering the proper disposal of garbage and refuse.
The violation was rated scope and severity level F.
The aide, identified in inspection records only as CNA #129, told inspectors on September 8 that residents cannot go to smoke without a staff member present.