Nursing Home News — Page 354

But inspectors determined the gap between what was happening and what should have been happening carried real potential for more than minimal harm.

The incident happened in the smoking room on October 21, 2025.

The resident at the center of the findings, identified in federal records only as Resident ID #3, did not survive.

The gap was documented in the facility's own staffing reports.

Federal inspectors who arrived at the facility at 14716 S.

The inspection, conducted on October 27, 2025, resulted in two deficiencies.

The admission came during a complaint inspection completed October 28, 2025.

What inspectors found wasn't a facility with no procedures on paper.

The violation came to light during a complaint inspection on October 27, 2025.

The inspection, completed October 28, 2025, at River City Living Community was triggered by a complaint.

The inspection, conducted November 19, 2025, identified the lapse under a category covering resident assessment and care planning deficiencies.

The inspection report does not describe the resident by name, age, or diagnosis.