The deficiency fell under F0689, the federal tag covering accident hazards and fall prevention.
Nursing Home News — Page 937
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The facility has not submitted a correction plan.
The Director of Nursing told inspectors on November 6 that she made the shower schedule for staff every day.
"It was uncomfortable," the resident said, pointing to her vagina.
The facility received a total of **four deficiencies** during the inspection.
The discrepancy involved Resident #1, who was admitted with major depressive disorder, adjustment disorder, unspecified dementia and metabolic encephalopathy.
This included shortcomings in providing treatment and daily living supports in a safe manner.
The facility's own managers confirmed it, one after another, in interviews with inspectors across two days.
The wound went without physician-ordered treatment until February 27.
She said so herself during a federal inspection on November 14, 2025.
That person was the facility's operations manager.
Inspectors noted the deficiency affected some residents.