Twice in two months, residents raised the same concern at formal Food Committee meetings.
Nursing Home News — Page 674
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The facility maintained a comprehensive QAPI policy implemented in November 2012 and revised as recently as November 2023.
The immediate jeopardy lasted one day.
Inspectors sat down with five residents on August 7 at 2:00 p.m.
The chairs were not being cleaned.
The inspection, completed August 11, 2025, was tied to Complaint Number 2576943 and a self-reported incident the facility had filed with the state.
The resident's funds kept moving.
He has dysarthria, meaning his speech is slurred and distorted.
Memory care units house people living with dementia and other cognitive conditions.
The nurse, identified in inspection records only as LVN N, had been repositioning Resident 95 in his bed.
That gap, between what the resident needed and what the facility's records authorized, sat undiscovered for days.
That was not the worst week she'd had.