The resident, identified only as Resident 1, scored just 3 out of 15 points on a standardized cognitive assessment.
Nursing Home News — Page 462
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Resident 1 had been admitted for rehabilitation following a hospitalization.
Federal inspectors found six of 30 rooms they examined on December 22 had blinds so damaged that beds could be seen from outside the facility.
Resident 3 was readmitted to the nursing home on October 13, 2025, according to a nursing note written at 6:36 p.m.
The beverages were being served to Resident #16, the facility's only patient requiring thickened liquids due to swallowing difficulties.
The December 12 assault at Double Tree Post Acute Care Center involved two residents with vastly different cognitive abilities.
Her physician had specifically ordered staff to hold those medications if she developed diarrhea.
The November incident left the resident feeling like "nothing and a nobody" to staff, according to federal inspection records.
CNA A was positioned in the dining room when Resident 1 walked in and grabbed Resident 2's arm.
The resident presented a complex infection risk profile.
She documented in the medical record that the resident was not in the facility during her shift.
The incident at The Village of East Harbor occurred on November 30, when the family member of resident R901 requested toileting assistance.