The Director of Nursing, identified in inspection records as DON-B, acknowledged it on the spot.
Nursing Home News — Page 312
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The inspection, completed September 25, 2025, was triggered by a complaint.
A second nurse did the same thing.
That was July 9, 2025, at Highland Hills Post Acute on Perry Highway.
That omission sat in a resident's clinical record at Woodstock Valley Health and Rehabilitation for more than six weeks before federal inspectors arrived.
In the language of federal nursing home oversight, a finding of "potential for more than minimal harm" is not a bureaucratic formality.
The deficiency was one of eight cited during that inspection.
Two residents, identified in inspection records as Resident R1 and Resident R3, were involved.
The citation was one of 14 deficiencies inspectors recorded during a complaint inspection at the Huntington facility.
No resident was found to have suffered actual harm.
The chapel findings were the most visible.
Without it, Facility A was receiving a new patient with no documented handoff from the clinical team that had been caring for that person.