That single detail sat at the center of a September 2025 federal complaint inspection at the Paxton facility.
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Inspectors cited the facility for failing to meet that standard, specifically calling out the uncovered catheter bags as an example of a demeaning practice.
The inspection, conducted on September 12, 2025, was triggered by a complaint.
That room was not an exception.
Inspectors classified the deficiency as isolated, meaning it did not touch every resident, but noted there was potential for more than minimal harm.
Cook Willow Health & Rehabilitation Center didn't always meet that obligation on time.
The violation was tagged under F0689, which covers the prevention of accidents and unsafe conditions.
Inspectors classified it as an isolated problem, with no actual harm documented, but with the potential for more than minimal harm to the people living there.
A staff member identified in the report only as MRC had borrowed money from the resident using her debit card.
The violation was one of 13 deficiencies inspectors documented at the facility during that visit.
The citation, recorded under F0804, covered food temperature failures affecting many residents.
That gap, between what the policy promised and what the aide did, is what brought inspectors to 8455 State Street on September 12, 2025.