Nursing Home News — Page 40

They were fully dependent on staff for incontinence care.

At Frostburg Village Rehab Center, federal health inspectors found that the facility was not reliably answering that question.

The level of harm was listed as minimal or potential, and the violation affected a small number of residents.

That designation means inspectors determined the facility's failure placed residents at risk of serious injury, serious harm, serious impairment, or death.

The resident, identified in inspection records as R15, had a right heel pressure ulcer first documented on March 24 at 0.5 centimeters by 0.5 centimeters.

His physician ordered nightly foot checks at bedtime starting July 2024.

Every one of them gave the same answer: call a code pink.

Federal inspectors visited the facility on August 15, 2025, responding to a complaint.

The citation was for immediate jeopardy, the most severe finding available under the federal inspection system.

She admitted as much to inspectors who arrived at Focused Care of Center in April 2025.

Where checks should have been documented, the sheet listed the resident as asleep.

The citation was classified as an isolated incident with no documented harm, but with potential for more than minimal harm to the resident involved.