The respiratory care citation, recorded under regulatory tag F0695, was classified as an isolated deficiency with no documented actual harm.
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The inspection took place on August 13, 2025.
The infection control citation, classified under federal tag F0880, was one of seven violations documented during the August 14 complaint inspection.
Federal inspectors arrived on August 13, 2025, responding to a complaint.
What they found warranted a citation.
The citation, issued August 13, 2025, fell under the category inspectors use for quality of life and care deficiencies.
Federal inspectors documented the lapse during a complaint inspection completed August 15, 2025.
"The resident did not have any signs or symptoms while here to remind us of the attempt," the director of nursing said during an interview on August 13, 2025.
The citation, issued August 14, falls under a regulatory category covering quality of life and care.
The inspection was triggered by a complaint.
Before June 30, staff had regularly used those same exit doors for various reasons.
The violation falls under what federal regulators classify as an environmental deficiency, the kind that can go unnoticed until something goes wrong.