Nursing Home News — Page 541

The regulation also requires that residents be supported in exercising their rights without interference.

The resident hit her head during the fall and was found bleeding on the floor at Aviata at Englewood.

Resident self-determination is considered a foundational principle in long-term care.

The incident came to light during a complaint inspection completed October 29, 2025.

The September 2025 complaint inspection resulted in an immediate jeopardy finding under F0689, the federal tag covering accident prevention and supervision.

The resident, identified only as Resident 6 in inspection documents, had three serious medical conditions that demanded constant observation.

The administrator said camera footage was reviewed to ensure compliance.

The facility received **two deficiencies** during the survey, including a violation related to resident assessment and care planning protocols.

In another shower room, dried brown matter was observed on the wall next to a shower chair.

Federal inspectors found the facility had trained staff on proper transfer techniques but the nursing assistant violated those procedures.

That is what federal inspectors found when they visited Big Horn Rehabilitation and Care Center on October 23, 2025, following a complaint.

Federal inspectors flagged the language during a November 2025 complaint inspection, citing it as a violation.