Nursing Home News — Page 603

That gap, between what happened on August 21 and what the family was never told, sat undiscovered until a complaint inspection on October 22.

The social worker, identified in the inspection report only as SW24, had been too passionate, the record states.

That account came from the Director of Nursing at Adel Acres, who described the incident to inspectors during a complaint investigation completed October 16.

Federal inspectors documented the contradiction during a complaint investigation completed October 21, 2025.

Resident 35 turned on her call light at 11:00 AM on October 8, 2025.

The resident who had been hit, identified in inspection records as R2, was on the floor.

CNA-C's first day at Bethany Home was August 26, 2025.

The medication was stopped in July 2025 before a procedure to place a suprapubic catheter.

LPN-A, who had just returned from a week off, saw nothing alarming.

That's what inspectors found at Optalis Health and Rehabilitation of Three Rivers during a complaint inspection that wrapped October 22.

The inspection, completed October 23, 2025, was triggered by a complaint.

The failure was not a matter of missing paperwork on a single chaotic shift.