The director of nursing and an assistant director were present for the observation.
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That is what inspectors found when they visited Northgate Plaza, a nursing home at 2101 Northgate Dr, in November 2025.
Federal inspectors visited the facility on November 24, 2025, following a complaint.
She ended up in the hospital, on intravenous diuretics.
The first resident, identified in the report as R2, fell in the dining room.
Without them, the system breaks down.
That answer was wrong, and a certified nursing assistant said so out loud to federal inspectors.
The complaint inspection, which covered 223 S.
That nursing assistant had worked in the field for 20 years.
The Culinary Manager, who was present when inspectors walked back through the findings that afternoon, confirmed the items should have been thrown out.
The violation was cited under infection control standards.
The inspection was complaint-driven, meaning someone had raised a concern serious enough to send surveyors through the door.