Inspectors reviewed the clinical records of both residents and found the same problem in each file.
Nursing Home News — Page 554
All Stories
The August 13 search at Rock River Health Care came to light during a complaint inspection on August 19, 2025.
The missed doses were documented in a nursing note written at 6:03 a.m.
Immediate jeopardy means inspectors determined that the facility's failures had placed residents in a situation likely to cause serious injury, harm, or death.
Inspectors found them on August 13.
The inspection, triggered by a complaint, was completed August 19, 2025.
Some people use foul language on a regular basis, it's just how they talk." The inspector had asked a straightforward question.
The inspection at Evergreen Health Services, conducted August 20, 2025, was triggered by a complaint.
Federal inspectors arrived at the facility on a complaint inspection and turned their attention to the lunch service.
The facility, located at 1 Myrtle Lane in Hardin, had cleared a resident for transport in its van before the family knew the move was happening.
It took a visitor asking questions on August 15 to prompt the director of nursing to open an investigation.
Then the walls came into view — an unknown black substance running along the entire length of the side walls and across the back.