That is what federal inspectors found when they visited St James Living Center on August 13, 2025, following a complaint.
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Licensed Nurse C discovered the situation on July 27 when she walked past Resident 2's room and found RN B exiting and closing the door behind her.
That was the finding at AristaCare at Whiting, a nursing home at 23 Schoolhouse Road, following a complaint inspection completed August 14, 2025.
That is what federal inspectors found when they visited Heritage of Webster County, a 28-bed facility on North Locust Street, on August 14, 2025.
That is what federal inspectors found when they visited the facility on August 14, 2025, following a complaint.
Someone reported the incident to state health officials the next day.
The puree chicken registered 128 degrees, mashed potatoes hit 134 degrees, and puree green beans reached only 132.6 degrees.
The August 14 inspection, triggered by a complaint, ended with a citation at the most serious level the federal government assigns: immediate jeopardy.
Federal inspectors found Kabul Nursing Homes failed to develop appropriate dementia care for the resident during an August complaint investigation.
The resident at the center of the incident was not identified by name in the inspection report.
On July 17, 2025, a nurse documented a change in the resident's condition: her left eye had redness, as though a blood vessel had broken.
Resident #71 arrived at the facility on July 26 from a subacute care hospital with acute respiratory failure, pneumonia, and a tracheostomy already in place.