The September incident left the resident unable to summon help while the nursing assistant cared for their roommate behind a pulled privacy curtain.
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Clean and soiled linen, along with their respective carts and hampers, must be kept separate at all times.
Resident #6 scored three on a cognitive assessment in September, indicating severe impairment.
The incident occurred on October 16, 2025, when nursing staff reported that Resident #02 had been lowered to the floor and may have sustained a head injury.
The nursing home has not submitted a correction plan.
These situations create both medical and emotional consequences that extend well beyond the individual resident.
The pressure ulcer deficiency was one of **four total citations** issued during the survey of the small South Dakota nursing facility.
The facility has not submitted a plan of correction.
The food safety citation was one of **two total deficiencies** identified during the inspection of the Reed City rehabilitation facility.
Federal inspectors cited Maimonides Health Center of Virginia Beach following a complaint survey completed November 17, 2025.
The facility has not submitted a plan of correction for the cited deficiency.
One of the residents never returned to the facility.