He had just received his license to transport residents.
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The resident, identified in inspection records only as Resident 4, was totally dependent on staff for everything, including mobility.
Inspectors cited the facility under a resident rights deficiency, a category that sits apart from clinical failures around wound care or medication management.
The citation, tagged F0609, identified minimal harm or potential for actual harm affecting a small number of residents.
The resident, identified in inspection records only as Resident 1, is no longer at the facility.
Inspectors rated the harm as minimal or potential, affecting a small number of residents.
That positioning is not incidental.
That acknowledgment came during a federal complaint inspection on October 17, 2025, at the facility located at 1010 East 33rd Street.
When paramedics arrived at King David Post Acute Nursing & Rehabilitation, staff told them they had last seen Resident #271 alive at 8:30 in the evening.
The deficiency was rated widespread, meaning the lapse wasn't confined to a single unit or a single moment.
After the fall, she received 18 doses in less than four weeks.
What inspectors found did not match either of those stated purposes.