The wound care nurse who discovered the problem on August 30 said she believed the resident had the correct mattress when he arrived.
Nursing Home News — Page 722
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The first incident happened August 11.
The resident, identified in the report as Resident 15, had lived at the facility since November 2023.
The admission skin assessment is among the most basic safeguards a nursing home performs.
No phone call to the doctor was documented.
She needs substantial to maximal help to bathe.
The inspection was triggered by a complaint and conducted on August 29, 2025.
Federal inspectors discovered Resident #07 at Aventura at Shiloh Springs during a September 3rd complaint investigation.
Their cognitive assessment showed moderately impaired mental function, scoring 9 out of 15 on a standard test.
The resident, identified in inspection records only as Resident #6, is 92 years old in a facility of that many residents.
The facility houses 80 residents total.
The violation began July 20, 2025.