The resident, identified in inspection records only as Resident #92, was admitted in early February.
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Federal inspectors cited Majestic Mountain Care Center following a complaint investigation completed April 28, 2026.
That gap, between what nurses observed and what they reported, is what inspectors documented during a complaint inspection on April 29, 2026.
The answers formed a circle that led nowhere.
Two staff members are required to reposition him in bed.
The precautions are considered especially important for residents with indwelling catheters, which create a direct pathway for infection into the body.
The inspector noted the roach on the wall and, two minutes later, asked a dietary aide about it.
That decision stood for eight days.
The call light was hanging from the bed rail on her right side.
The dates and times attached to entries were also off.
That is what triggered a complaint inspection at the facility at 6650 South Soncy Road on April 29, 2026.
The inspection, completed April 29, 2026, centered on a single resident identified in the report as Resident 1.