Nursing Home News — Page 271

Staff who witnessed the aftermath said something different happened.

The deficiency was one of 18 cited during the same inspection visit.

That was how the facility was making sure residents got fed.

Inspectors classified the violation as isolated, with no actual harm documented, but with potential for more than minimal harm.

The nurse inspectors identified as LVN B told investigators she had been trained on skin assessments when she was hired in September 2023.

That is a gap of two hours and forty-six minutes, well outside the window that both the facility's nursing staff and its director described as acceptable.

The deficiency was one of eight cited during the inspection.

That plan, required to be prepared, reviewed, and revised by a team of health professionals, is not a formality.

The inspection, completed September 16, 2025, was a complaint investigation, not a routine survey.

The facility's medical director learned about the incident and did not hide his reaction.

The surveyor arrived in the room of a resident identified in inspection records as R6 at 8:30 in the morning and did not leave until 9:28.

The facility is disputing the citation.