An 88-year-old care home resident trapped her foot in bed railings and later died after her leg was amputated, a court heard.
Barbara Humphreys died in hospital in November 2018 following the incident at Crosfield House in Rhayader, Powys.
More than a quarter of UK home care providers risk going out of business, research for the BBC suggests.
A study by business analysts for Radio 4's You and Yours programme found 715 of the 2,731 home care operators in the UK are in danger of closure.
The sector has combined debts in excess of £100m.
The number of people dying with COVID symptoms in care homes rose sharply in the first week of November, according to official data.
In its latest weekly update, the ONS said care home deaths were up by 112 to 280 in the week ending 6 November. The two-thirds increase on the previous week took deaths to their highest level since mid-June.
Year to date analysis shows that 16,422 deaths involving COVID-19 occurred in care homes in England and Wales up to the week ending 6 November.
Care provider Signature is to open two new luxury care homes in Berkshire and Buckinghamshire in 2022, offering both residential care and assisted living for those in need of nursing, respite or dementia care.
Farnham Common care home, Buckinghamshire
The developments are being built by Beard for a contract worth £25m.
The care home in Caversham, Berkshire will comprise 86 apartments, including a number of deluxe units, built over four floors, split across a sloping site with views across to the Caversham lakes. Communal facilities will include a café, restaurant, cinema, lounge areas, activity room, a pub, spa bathrooms, hair salon and therapy room.
Care homes are being banned from putting up Christmas trees and decorations by local authorities due to “infection control issues”.
Care Campaign for the Vulnerable (CCTV) has revealed it has received “distraught messages from care home managers” due to the ban.
One manager told CCTV: "I’m a manager of a residential nursing home. We are being told the local authority are trying to put a stop to homes decorating for Christmas!
The government aims to have coronavirus testing available to allow visits in all care homes in England by Christmas, according to the health secretary.
Matt Hancock said it was "working closely with the social care sector" to try to make it happen.
It comes as a screening pilot across 20 care homes in Hampshire, Devon and Cornwall was launched on Monday.