The deficiency covered every resident investigated, two out of two.
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The incident at Taylorville Care Center was reported to state regulators and triggered a federal inspection completed October 9, 2025.
She died approximately one week later.
The surveyor walked the 400-wing spa room on the morning of October 2nd.
The plastic display holder near the front desk held a form dated September 10.
None of that happened the way it was supposed to.
Federal inspectors arrived on October 8, 2025, following a complaint filed nine days earlier.
The resident, identified in inspection records only as R2, experienced a change in condition at 1:15 p.m.
The inspection, conducted September 26, 2025, was a complaint visit to the 74-resident facility at 600 24th Avenue Southwest.
Resident P told inspectors he waited as long as nine hours after requesting pain medication.
What inspectors documented during the October 14 complaint inspection suggested that commitment existed more on paper than in practice.
for a resident identified in the report as Resident 70, read like a routine clinical assessment.