The finding came during a November 2025 complaint inspection at Cascadia of Boise, a nursing facility at 6000 W.
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Inspectors classified the violation at Scope/Severity Level D, meaning it was isolated in nature and produced no documented actual harm.
Inspectors who visited the facility on September 25 reviewed the daily postings of licensed and unlicensed nurse staffing going back to March 20.
It is the most serious deficiency level the federal inspection system assigns.
The inspection at Legend Oaks Healthcare and Rehabilitation took place in November 2025, triggered by a complaint.
Federal health inspectors visited Riverbend Post Acute Rehabilitation on November 19 and documented the violations across multiple categories of care.
The November 2025 complaint inspection of the northern Minnesota facility turned up 13 separate deficiencies.
The deficiency falls under what regulators call F0600, the foundational protection that nursing homes owe every person living inside them.
Nurse D, an administrative nurse at the facility, confirmed the schedule existed and that staff were expected to complete showers on the days assigned.
The deficiency at Windsor The Ridge Rehabilitation Center was one of seven cited during the November 25, 2025 inspection.
The aide, identified in inspection records as V7, was working by herself on November 19, 2025, when she turned Resident 1 onto her right side to clean her.
The administrator was direct about where the responsibility sat.