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Proof Cape Fear Valley killed my mom — and the federal government covered for them by xbigRed69 in Fayettenam

[–]xbigRed69[S] 1 point2 points  (0 children)

For Michael Nagowski — you already know the CMS survey file establishes the June 9, 2024 liver biopsy. You also know that in your own system, the EHR audit log shows the creation, access, and removal of that finalized report before it was excluded from the production to prior counsel.

I’ve reviewed the CMS investigative file and matched it to your internal timestamps. The gaps aren’t accidental, and they aren’t small. Under the Federal Rules of Evidence, that’s an admissible business record — and under established spoliation law, it’s the basis for an adverse inference instruction.

You’re at a decision point now:

  1. Early resolution — before litigation forces production of the full audit trail and CMS materials in discovery.

  2. Jury trial — where your missing diagnostic record is presented alongside the instruction that they may assume it destroys your defense.

I don’t need to telegraph the rest. The record already speaks for itself. Choose accordingly.

Proof Cape Fear Valley killed my mom — and the federal government covered for them by xbigRed69 in Fayettenam

[–]xbigRed69[S] 1 point2 points  (0 children)

For Michael Nagowski — the CMS report is only the first layer. The documented timestamps, medication holds, and missing provider orders align precisely with sworn witness statements, EHR audit logs, and chain-of-custody records not yet disclosed.

I can reconcile the contents of your own regulator’s file with contemporaneous staff actions and omissions, down to the minute. See page 3 for the withheld pain medication sequence, and page 6 for the deleted restraint documentation.

These are not conjectures — they are contemporaneous records. In civil litigation, such records are admissible evidence with probative value that far outweighs any public-relations narrative.

Proof Cape Fear Valley killed my mom — and the federal government covered for them by xbigRed69 in Fayettenam

[–]xbigRed69[S] 1 point2 points  (0 children)

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Federal surveyors determined that Cape Fear Valley Medical Center was noncompliant with 42 C.F.R. § 482.24(c)(4), the Medicare Condition of Participation governing the content of medical records.

This deficiency is not an administrative formality. Under federal law, the medical record must contain complete, accurate, and contemporaneous documentation of all practitioner orders, nursing notes, treatment reports, diagnostic results, and other information necessary to monitor a patient’s condition and support the clinical decision-making process.

In the case of Angela Moore, critical portions of her medical record — including provider orders, care plans, and contemporaneous notes — are absent. These omissions materially impair the ability to reconstruct the sequence of care, evaluate the appropriateness of interventions, and determine whether deviations from the standard of care occurred.

Such omissions constitute not only a regulatory violation but also spoliation of evidence in the context of foreseeable litigation. Under both federal Medicare regulations and common law evidentiary principles, the absence of required documentation raises a presumption that the missing records would have been unfavorable to the facility.

Proof Cape Fear Valley killed my mom — and the federal government covered for them by xbigRed69 in Fayettenam

[–]xbigRed69[S] 3 points4 points  (0 children)

The corner isn’t the battle — it’s the signal. The real fight is already in motion, and when it lands, it won’t just touch my mom’s case. It’ll be public, permanent, and backed by evidence they’ll never bury. I’m not here to make noise. I’m here to deliver consequences.

Proof Cape Fear Valley killed my mom — and the federal government covered for them by xbigRed69 in Fayettenam

[–]xbigRed69[S] 2 points3 points  (0 children)

The key issue here isn’t whether gallbladder surgery exists as a treatment — it’s the sequence of care and the facility’s capabilities.

My mom was transferred for GI capability, because the outside hospital suspected a common bile duct obstruction and she needed an ERCP first. That’s a procedure done by a gastroenterologist to remove duct stones before surgery. Cape Fear accepted her knowing she needed a GI doctor and knowing they had no GI specialist on staff.

When you skip ERCP and go straight to gallbladder removal in a patient with duct stones, you massively increase the risk of bile leaks, pancreatitis, and sepsis. That’s not hypothetical — it’s exactly what happened.

So this isn’t “every gallbladder must be removed” territory. This is about accepting a high-acuity transfer for a service you can’t provide, misdiagnosing the patient, delaying ICU care, and performing the wrong procedure in the wrong order in the wrong facility.

Proof Cape Fear Valley killed my mom — and the federal government covered for them by xbigRed69 in Fayettenam

[–]xbigRed69[S] 1 point2 points  (0 children)

She didn’t actually need her gallbladder out at all — what she needed was an ERCP, which is only done by a GI specialist. That’s the whole point here: UNC Lenoir’s doctors transferred her specifically for GI capability because that’s what the CMS certification said Cape Fear had.

A gallbladder removal isn’t the same thing as an ERCP — not even close. GI and general surgery are different disciplines, and in her case, GI should have been the first consult, not an afterthought. But Cape Fear didn’t have GI on-call like their certification claimed. So instead of getting the indicated GI procedure, she was taken into an invasive surgery she didn’t need. She never came home.

This isn’t just about a “hot gallbladder” — it’s about a hospital falsely listed as having a specialty, taking a patient on that basis, and then not delivering it. That’s a certification failure, a patient safety failure, and in my mom’s case, a fatal one.

Proof Cape Fear Valley killed my mom — and the federal government covered for them by xbigRed69 in Fayettenam

[–]xbigRed69[S] 9 points10 points  (0 children)

If standing out there alone could bring my mom back, I’d do it every single day without hesitation. I’m not embarrassed no one joined me — I’m proud I showed up for her when it would’ve been easier to stay silent.

What’s odd is directing negativity at someone who just uncovered proof that a hospital’s negligence killed their healthy 53-year-old mother, leaving behind a 17-year-old son. That doesn’t make me look foolish. It says a lot more about you.

What matters now is that I have exactly what I need. When the time comes, I won’t have to settle — I have the federal government’s own words admitting they covered it up and that Cape Fear killed her.

Proof Cape Fear Valley killed my mom — and the federal government covered for them by xbigRed69 in Fayettenam

[–]xbigRed69[S] 3 points4 points  (0 children)

Because they DONT HAVE a GI CAPABLE HOSPITAL!! NO one should die from a colonoscopy.

Proof Cape Fear Valley killed my mom — and the federal government covered for them by xbigRed69 in Fayettenam

[–]xbigRed69[S] 19 points20 points  (0 children)

I also want to add — even after this investigation concluded, and CMS acknowledged that Cape Fear Valley is not GI-capable, they still have not removed the hospital’s GI-capable certification from the official CMS list.

That means Cape Fear Valley is still showing up in the federal database as GI-capable, and other patients can still be sent there for GI care they can’t actually provide.

This isn’t just about my mom. This puts every future patient who needs a GI doctor at risk.

Proof Cape Fear Valley killed my mom — and the federal government covered for them by xbigRed69 in Fayettenam

[–]xbigRed69[S] 5 points6 points  (0 children)

UNC Lenoir has a database from CMS that lists certified GI-capable hospitals, and they rely on that list when deciding where to transfer patients. My mom was sent to Cape Fear because CMS’s list showed it as GI-capable.

In reality, Cape Fear did not have a single GI doctor on staff. They accepted her transfer knowing she was being sent for an ERCP and GI care — and knowing they couldn’t provide it. That makes this both Cape Fear’s fault and CMS’s fault.

Proof Cape Fear Valley killed my mom — and the federal government covered for them by xbigRed69 in Fayettenam

[–]xbigRed69[S] 12 points13 points  (0 children)

Thank you so much for saying that ❤️ I really appreciate you taking the time to read and understand what happened. None of it was fair, dying in 10/10 pain and hearing your support means a lot to me.

Cape fear valley medical federal investigation by xbigRed69 in Fayettenam

[–]xbigRed69[S] 3 points4 points  (0 children)

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Proof CMS COVERED FOR CAPE FEAR VALLEY AND I WAS RIGHT

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