A resident at Summit Ridge Skilled Nursing & Rehabilitation had recently lost a leg above the knee.
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The lapse was documented during a complaint inspection conducted on April 29 and 30, 2026.
That explanation didn't satisfy inspectors.
The report had to happen within two hours of the suspicion forming.
That exchange, which took place on March 21, 2026, is the center of a complaint inspection completed by federal surveyors on April 30, 2026.
Her guardian had been asking the facility to stop it for months.
Federal inspectors documented the situation following a complaint inspection on April 27, 2026.
That was the extent of what inspectors could confirm she communicated.
The error was discovered during a complaint inspection at Cedar Crest Post Acute, completed April 30, 2026.
By the time the facility finally released the funds, he had made six trips to the building and placed approximately 20 phone calls.
Cheviot Hills Post Acute was cited under a federal deficiency category covering resident rights following a complaint investigation completed April 30, 2026.
The complaint inspection, completed April 30, 2026, centered on Resident #1, a man who kept a credit card in his possession inside the facility.