The resident, identified in inspection records as R4, had been living at Metropolis Rehab & Health Care Center since November 2023.
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Resident 87 arrived at the facility in November 2024, recovering from hip surgery and living with dementia and anxiety.
The respiratory care citation fell under a category inspectors use specifically for failures in quality of life and care.
Inspectors visited Hillside Health Care Center on April 24, 2026, following a complaint.
That call took place on May 20, 2026.
He had a urinary tract infection serious enough that a physician had prescribed a high-dose antibiotic on January 14.
It affected enough residents, enough times, to constitute something routine.
Three days later, on or about May 21, the resident's family representative called the Director of Nursing, upset.
Federal inspectors cited Continuing Healthcare of Cuyahoga Falls for exactly that failure following a complaint inspection completed May 26, 2026.
A head injury in a patient on Eliquis is not a routine fall note.
The citation, issued January 29, 2026, falls under the federal category for infection prevention and control programs.
The May 23, 2026 complaint inspection captured the sequence directly.