Federal inspectors visited the facility at 6000 E.
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The executive director of the facility, identified in inspection records as Staff 14, confirmed it himself.
The declaration came on August 26, 2025.
R12 was cognitively intact, according to her own assessment records.
The victim, identified in inspection records as Resident 1, had full contractures.
The resident, identified in inspection records only as Resident 80, had lived at the Livingston Road facility since December 2022.
She called the administrator to say the clothes were ready.
When inspectors visited the resident that morning, he told them directly: no one had brought him his toothbrush.
The resident, identified in inspection records as R1, had been denied Medicaid services after failing to submit required paperwork.
The resident, identified only as Resident 1 in the report, has dementia and had been flagged as an elopement risk since December 2024.
The incident was discovered August 4, 2025.
The inspection, triggered by a complaint, found gaps across the activity of daily living sheets and treatment administration records for multiple residents.