The deficiency was tagged at a level of minimal harm or potential for actual harm, affecting some residents.
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That was one of several food safety failures federal inspectors documented during an April 2025 inspection of the North Assembly Street facility.
The records violation fell under a category covering resident assessment and care planning deficiencies.
Federal health inspectors visited Chestertown Nursing and Rehab on August 13, 2025, responding to a complaint.
The resident in that room, identified in inspection records only as Resident 65, had already fallen five times.
Inspectors classified the violation as isolated, with no actual harm documented to any resident, but with the potential for more than minimal harm.
The resident, identified in inspection records only as Resident 17, reported her iPhone missing from North Auburn Care on January 20, 2025.
The violation was rated widespread, meaning the problem wasn't isolated to a single unit or a single day.
Immediate jeopardy is not a routine citation.
The declaration meant inspectors believed the facility's failure had already caused, or was likely to cause, serious injury or death.
Management had identified the problem months before a federal inspector arrived in late April.
That's what Resident 104 told inspectors at Carmel Mountain Rehabilitation & Healthcare Center during a federal health inspection completed April 24, 2025.