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That is what a state surveyor witnessed at Waters Edge Health and Rehabilitation Center on September 22, 2025, according to a federal inspection report.

Inspectors classified the problem as a pattern, meaning this was not an isolated incident or a single mistake caught and corrected on the spot.

The deficiency, one of 13 cited during the September 19 complaint inspection, falls under the category of quality of life and care.

Federal health inspectors visited the facility on September 18, 2025, responding to a complaint.

The citation, issued September 18, 2025, falls under a regulatory category covering quality of life and care.

No resident was documented as having been harmed.

Inspectors classified it as an isolated problem with no documented actual harm, but with potential for more than minimal harm to residents.

The violation was one of eight deficiencies inspectors recorded during that visit.

They didn't start until September 6.

Staff did none of what her provider had asked.

That finding, classified under what federal regulators call an environmental deficiency, covered not just residents but staff and visitors as well.

The meal that day was baked fish, rice, and mixed vegetables.