The logs showed temperatures as low as 30 degrees, recorded across morning and evening checks spanning more than three weeks.
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The resident in question, identified in inspection records only as Resident 1, has lived at Garden Crest since July 30, 2021.
The resident, identified in inspection records only as R8, is cognitively intact and knows what is happening around her.
The resident, identified in inspection records as R801, was eventually sent to the hospital at 2:30 AM.
That is what federal inspectors found when they arrived at the 137-bed nursing home on 255 Front Street on August 30, 2025, following a formal complaint.
The complaint inspection at The Estates of St.
None had labels identifying what they were or when they were prepared.
Federal inspectors arrived on August 29 and began asking questions.
The resident, identified in inspection records only as R1, was seen by a physician on July 21, 2025, after the daughter's call.
None of that was happening consistently.
When she entered the room, she found him upset over the spilled dessert and began helping him clean it up.
Inspectors first noticed it on August 25, 2025, at 12:36 in the afternoon.