That was what the Director of Nursing told a federal inspector on September 11, 2025.
Nursing Home News — Page 583
All Stories
When an inspector spoke with her on September 16, 2025, she said she didn't know how long she would be at the facility.
A staff member noticed she was wet and flagged it — R5 had just been changed before breakfast, so the wetness made no sense.
The problem was not a surprise to anyone running the facility.
The resident, identified in inspection records as Resident R1, was admitted to the facility on August 13, 2025, with sepsis, paraplegia, and a pressure ulcer.
The September 2025 inspection, triggered by a complaint, identified medication diversion as the central concern.
The steam table violation was straightforward.
The resident who actually needed the surgery, identified in inspection records only as Resident #10, found out what happened the night before his procedure.
Federal inspectors documented the violation during a complaint inspection on September 17, 2025.
The resident, identified in inspection records only as R1, sustained a bruise and abrasion while being moved from a wheelchair to a bed on August 11, 2025.
Federal inspectors visited the facility on September 13, 2025, following a complaint, and reviewed medication administration records for two residents.
State inspectors documented the lapses during a complaint inspection completed September 17, 2025.