A complaint inspection conducted at the facility on May 28, 2026 found that residents were not consistently receiving their scheduled baths and showers.
Nursing Home News — Page 488
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The resident, identified in inspection records only as Resident 2, received dialysis at an outside center and was transported there on a regular schedule.
Without them, staff, visitors, and residents in the hallway had no way of knowing the rooms posed a fire risk.
The activity record is often the only way to know.
The gaps showed up in the facility's own records.
Nobody called the legal guardian.
The violation was tagged at the minimal harm level, affecting a small number of residents.
A quarterly cognitive assessment had placed her at an 11 on the Brief Interview for Mental Status scale, a score that indicates moderate cognitive impairment.
On a standard cognitive assessment, the resident scored a zero out of fifteen, indicating severe cognitive impairment.
The resident in that room, identified in inspection records as Resident 69, had a tracheostomy and was on continuous oxygen.
The problems surfaced during a May 28 inspection of Capri Gardens, a nursing facility at 6975 Graphics Way in Lewis Center.
The cart belonged to Lone Star Ranch Rehabilitation and Healthcare Center.