On Saturday, August 16, a family member approached Nurse A to report that Resident #1 claimed he had been struck in the eye by a certified nursing assistant.
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The facility's own wound care policy required staff to document wound type, stage, measurements and characteristics as part of complete assessments.
The resident filled out a theft and loss form on August 10.
Federal inspectors found the facility violated requirements to respond to alleged abuse and protect vulnerable residents.
The violation, which posed immediate danger to resident health and safety, affected few residents according to the August 18 inspection report.
Federal inspectors observed the violation during a complaint investigation at White Acres Wellness & Rehabilitation on August 18.
The resident, identified as #86 in inspection records, had been classified as high-risk for falls due to limited mobility, difficulty walking and weakness.
The nurse assistant, identified in the inspection report as RNA 1, acknowledged to inspectors that her mask was applied incorrectly.
Its right next to my head when I lay in bed," he told inspectors in August.
The June 26, 2025 incident at Focused Care at Huntsville began when Resident #1 entered the TV room where other residents were watching television.
The missing signage meant staff entering the resident's room might not have worn proper protective equipment for weeks or months.
The August 5 assessment documented that the resident was severely cognitively impaired but could understand others and be understood.