The respiratory care citation, recorded under federal tag F0695, fell into the category of Quality of Life and Care deficiencies.
Nursing Home News — Page 278
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The facility, which serves 76 residents, couldn't produce documentation that a licensed practical nurse hired in January 2025 had completed the training.
The citation, issued under the infection control deficiency tag that covers a facility's entire prevention program, was not a paperwork problem.
Inspectors determined the facility was not meeting professional standards in at least one of those areas.
The inspection report doesn't say what it was.
The citation, issued September 18, 2025, fell under a category regulators call pharmacy service deficiencies.
The inspection, conducted on September 17, 2025, was a complaint inspection.
Her care plan listed her fall risk prominently, citing her paralysis, hypertension, and blindness.
Twenty-seven deficiencies in a single inspection is a number worth sitting with.
The incident came to light through a complaint inspection completed on September 16, 2025.
"I keep holding and pressing the call button and I did not know it was not working," she told the inspector who found her on September 16.
That last distinction matters less than it might sound.