She said it wasn't the first time.
Nursing Home News — Page 344
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The incident at the center of it dated to a Saturday, September 13, five weeks earlier.
The fall came to light during a complaint inspection completed October 17, 2025.
The incident happened on April 5, 2025, at Saint Helens Post Acute.
Federal inspectors documented the failure during a complaint inspection on November 18, 2025.
She was looking for transfer instructions.
Eighty-eight residents live at the facility.
The citation came out of a complaint investigation completed October 20, 2025.
The incident involved two residents identified in the report only as Resident 49 and Resident 16.
The citation carried the most serious classification available under federal nursing home oversight: immediate jeopardy to resident health or safety.
The fracture was an occipital condylar fracture, a rare injury at the base of the skull.
Inspectors from the Centers for Medicare and Medicaid Services cited Presidential Post-Acute following a complaint investigation completed October 20, 2025.