The violations span seven months and represent a pattern of staffing failures at the Ridgewood Road facility.
Nursing Home News — Page 307
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Federal inspectors documented the discovery during an unannounced visit to The Oaks at Belmont in August.
Resident 5 had been dependent on staff assistance for eating since July 18 — a significant decline from her abilities when first admitted to the facility.
She had been requesting extraction and dentures since at least July 2024.
His physician had ordered a regular diet with regular texture and thin liquids.
Resident #1's case illustrated the facility's systemic failure.
Resident #44 arrived at Avir at Woodlands with a fractured femur, high blood pressure, an irregular heartbeat and muscle weakness.
The certified nursing assistant has worked at the facility for 27 years under the same conditions.
The January incident was one of several reporting failures discovered during an August inspection at the 3057 Gull Road facility.
They required one-person assistance for toileting and transfers, plus supervision for eating, walking and bed mobility.
The physical therapist's documentation of the incident should have triggered immediate reporting to administrators under federal nursing home regulations.
The incident occurred during routine personal care at Excel Care at Manalapan when CNA #1 and CNA #2 were changing Resident #43.