The violations affected at least three residents and involved both staff-to-resident abuse and theft allegations.
Nursing Home News — Page 743
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During breakfast on September 8, LPN #1 fed two unidentified dependent residents by alternating bites between them.
The resident told inspectors the hair-pulling "did not hurt" but "made her angry towards Family Member #1." Resident #50 told the family member to leave.
The wound vacuum wasn't delivered and placed until July 29.
When that delivery failed, staff waited weeks before attempting to resend the information.
The incident occurred at 11:22 a.m.
The breakdown occurred on September 3rd when Nurse Practitioner #492 assessed the resident for complaints of coughing that had persisted for several days.
Resident #1 was last seen at 9:30 p.m.
Inspectors noted bruises and scabs on both his arms and legs.
The complaint at Oxford Nursing Home came just weeks after another resident made similar allegations of being physically pushed by staff.
The pain crisis at Majestic Mountain Care Center began July 25, 2025, when the resident fell.
The September 10 incident at Hyde Park Healthcare Center violated the facility's own infection control policies and basic wound care protocols.