The facility housed 103 residents at the time.
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That observation, recorded by a federal inspector on the morning of August 19, was not an isolated test.
The aide, identified in inspection records only as Medication Aide #380, told inspectors she had put on a face shield at first but took it off.
The facility failed to report a resident's allegations of verbal abuse and neglect to the state agency within the required timeframe, inspectors found.
What inspectors found that day, and the next, was a building coming apart around the people living in it, room by room, floor by floor.
The inspection, completed August 20, 2025, was a complaint investigation.
Inspectors visiting Ormond Rehabilitation and Nursing Center on August 19, 2025, documented the sequence.
The error happened on the morning of August 6, inside Continuing Healthcare of Cuyahoga Falls, a 50-bed facility.
The missed injury at North Starr PostAcute Care prevented Resident 1 from transferring to an assisted living facility as planned.
She was left alone in the shower room for thirty minutes.
The exchange happened on July 14, 2025, during the 3 p.m.
The day shift nurse, RN #1, told inspectors she first saw the resident complain of shortness of breath and anxiety after lunch, around 12:30 p.m.