In resident 15's room, the soap dispenser had been torn completely off the wall.
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The moves affected residents with serious medical conditions including dementia, Parkinson's disease, and chronic kidney disease.
She had no walker or wheelchair with her.
Those orders were discontinued on October 7 when R1 returned to the facility from a hospital stay.
The resident felt the exercise was too aggressive and started pushing back.
The therapist later confirmed the objects were maggots.
Federal inspectors found the facility failed to complete the required care plan for Resident #2 within 21 days of her October 6 admission.
On October 22, inspectors observed Resident 43 sitting in dining room B at 12:15 PM, waiting for lunch trays that didn't arrive until 1:10 PM.
At least six residents developed severe itching rashes consistent with scabies infestation by mid-October.
The resident had called her son on September 1st asking him to bring a fly swatter because there were so many flies in her room.
On the day of inspection, 24 residents displayed "falling star" nameplates marking them as fall risks.
A January assessment showed the resident scored just 3 out of 15 on a standard cognitive test, indicating severely impaired mental status.