The registered nurse on duty that night offered a straightforward explanation when inspectors interviewed her on September 16.
Nursing Home News — Page 279
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Inspectors arrived at the facility on September 15, 2025, at 5:00 a.m.
The pattern is documented on the state's own inspection website.
That finding came from a complaint inspection completed September 17, 2025, at the facility on Portage Street.
Eleven deficiencies in a single inspection is a number that warrants attention.
The level of harm was classified as minimal harm or potential for actual harm, affecting a small number of residents.
That is the gap federal inspectors documented at The Villa at the Park this past September.
Immediate jeopardy is the most serious deficiency level the federal government assigns to nursing homes.
The inspector's interview with the director of nursing took place at 2:41 in the afternoon.
Eleven deficiencies in a single visit is a significant tally for any nursing facility, and the assessment failure sits at the center of it.
The assessment process at the center of this violation is not a formality.
The inspection was triggered by a complaint, not a routine visit.