She didn't receive a single dose until October 20.
Nursing Home News — Page 412
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Nobody weighed the resident when he was readmitted in September.
The error affected how staff addressed the resident's comfort needs and pain management.
The inspection, conducted on October 23, 2025, followed complaints about conditions at the 395745-licensed facility.
Resident #5 fell at Piedmont Hills Center for Nursing and Rehab on September 3rd at 11:30 AM, then again at 1:00 PM.
Staff had begun treating the skin breakdown, but the resident's comprehensive care plan remained unchanged.
Staff D entered Resident #2's room during personal care on October 22.
When R1's condition changed, registered nurse V17 was working in the same area of the building.
But the administrator never filed the required report with state authorities.
She told them staff had brought her breakfast tray and said they would be back to help her transfer out of bed.
Federal inspectors found dangerous water temperatures in six of eleven bathrooms they tested during an October 27 complaint investigation.
The resident told federal inspectors on October 27 that he had been at Amberwood Care Centre for about six months and had not seen a podiatrist yet.