The deficiency was one of 13 cited that day.
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The deficiency was classified as widespread, meaning the problem was not isolated to one shift, one unit, or one corner of the building.
The citation fell under a category of resident rights violations, a classification that carries specific weight.
The facility has not filed a plan of correction.
The citation against Waters of Castleton Skilled Nursing Facility was issued October 28, 2025, following a complaint investigation.
The citation, recorded October 28, 2025, fell under pharmacy service deficiencies.
She had been a resident at the facility before being discharged to a hospital on August 18, 2025.
The admission came during a complaint inspection conducted on October 28, 2025.
She was discharged from the emergency room directly to the ICU at a higher-level care hospital.
Inspectors who arrived October 28, 2025 found the facility wasn't keeping that promise.
The citation, tagged F0694, came out of a complaint inspection completed October 29, 2025.
The inspection, conducted November 15, 2025, resulted in a citation under pharmacy service deficiencies.