Resident #1 arrived in September 2025 dependent on four liters of oxygen for acute respiratory failure.
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The facility has not submitted a plan of correction for the identified deficiency.
The resident arrived at the facility on September 12 with hospital discharge instructions that clearly outlined daily wound care requirements.
The facility has not submitted a plan of correction for the deficiency, raising questions about its commitment to addressing the identified safety gaps.
The violation was classified at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented actual harm.
The resident at the center of the inspection findings is identified in the report only as RI #78.
The facility has not submitted a plan of correction.
The footage showed CNA A securing the resident's lower legs with a sheet and covering them with a blanket.
The wheelchair-bound resident, identified only as Resident #1, was supposed to receive all nutrition through a PEG tube and remain NPO — nothing by mouth.
Federal regulations require doctors to sign and date progress notes at the time of each visit.
Federal inspectors found the facility violated reporting requirements during a November complaint investigation.
The wire was part of the wander guard alarm system at the facility's service hall back door.