That was the situation inspectors found at Cadia Rehabilitation Renaissance during an August 2025 complaint inspection.
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Inspectors cited the facility under F0677, which covers basic personal hygiene and grooming.
State law requires nursing homes to report such changes within five working days.
The resident had been discharged from a hospital on April 15, 2025, with a discharge summary that identified a psychiatrist.
The social services director, identified in inspection records as V2, acknowledged all of this himself when inspectors arrived on December 31, 2025.
Federal inspectors cited the facility for actual harm to residents after investigating complaints about resident-to-resident violence on October 20.
The December 22 inspection at Elevate Health and Rehabilitation revealed the nurse treating a resident's ankle wounds from an August car crash.
The November 18 fall at The Terrace of Kissimmee left the resident bleeding from her nose and with a skin tear above her right eyebrow.
When a nursing home fails to meet these financial stewardship requirements, residents face real risks.
LPN B entered Resident 13's room on October 13 to change a dressing on the woman's left ankle wound.
The facility reported completing corrections on **January 21, 2026**.
The regulation specifically mandates that residents receive treatment and daily living supports in a manner that does not compromise their safety.