Federal inspectors found the crumbling wall on November 17 during a complaint investigation.
Nursing Home News — Page 445
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Resident #29 arrived at Timber Springs Transitional Care in July with severe cognitive impairment and anxiety.
Staff A entered Resident #4's room at 10:05 AM on November 20, performed hand hygiene, and put on gloves.
The kitchen manager told inspectors on November 19 that he had seen gnats since February 2025 but never filed a report about the problem.
Resident #3 was on a pureed diet but received a regular meal during lunch on November 9, 2025, at Aviata at the Palms.
Resident #7 requires substantial or maximum assistance for bathing and is completely dependent on staff for toileting hygiene, according to facility records.
She said the facility provided no written notification at discharge and was unaware of her right to appeal or who to contact for support.
Resident 1 failed to return to Virgil Rehabilitation & Skilled Nursing Center on October 7, 2025, after leaving on what staff called an "out on pass" order.
Resident 2 had been on constant supervision since June 2025 following repeated fights with other residents at Oak Grove Post Acute.
The resident at The Earlwood told inspectors during their November visit that he would like to see a dentist.
The CNA had been serving as the facility's activities director for four to five weeks when federal inspectors arrived in November.
She was not allowed to keep any medications in her room because staff worried other residents might access them.