The facility opened it before he ever saw it.
Nursing Home News — Page 548
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That was not the first time inspectors had seen the insects that week.
That was not the worst thing inspectors found that week.
That detail came from an interview inspectors conducted on August 12, at 10:22 in the morning.
Inspectors arrived on August 12 and spent nearly two hours observing the first floor nursing unit.
It was not the first time inspectors had found this.
The facility never notified the California Department of Public Health about the outbreak, according to a complaint inspection completed August 12, 2025.
The resident, identified in the inspection report only as R1, had a tracheostomy.
The finding, documented in a complaint inspection completed February 28, 2025, placed Capstone at the most serious level of federal deficiency.
The resident, identified in inspection records as R74, had been referred for a restorative nursing program after completing therapy.
The fall happened on July 25, 2025, at Maples Benzie County Medical Care.
It was, the aide explained, meant to make the narcotic count go faster.