Inspection
Van Duyn Center: Air Mattress Settings Wrong for Wound Care - NY
One of those residents, identified in inspection records as Resident #114, had an active sacral wound.
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Van Duyn Center: Diabetic Sent to Appointment Unfed - NY
No one had arranged food for her to take.
Inspection
North Auburn Care: Catheter Left Without Assessment - WA
That is roughly the equivalent of four cups of fluid that had built up in the bladder.
Inspection
Lefa Seran SNF: Unsecured Medications Left in Reach - NV
Inspectors visiting Lefa Seran SNF on April 10, 2025 documented the finding.
Inspection
Downey Community Health Center: Abuse Reporting Failure - CA
The incident involved two residents identified in the inspection report as Resident 44 and Resident 42.
Inspection
Van Duyn Center: Insulin Orders Missed at Admission - NY
The resident went without the sliding scale insulin.
Inspection
Spokane Health & Rehabilitation: Nutrition Care Failures - WA
That detail emerged during a state inspection completed April 24, 2025, at the facility located at North 6025 Assembly in Spokane.
Inspection
Downey Community Health Center: Abuse Reporting Failures - CA
Downey Community Health Center, an 8425 Iowa Street facility serving many residents, was cited in April 2025 for failures tied to exactly that requirement.
Inspection
Van Duyn Center: Cold Food Violations Found - NY
That was one meal, on one tray, at Van Duyn Center for Rehabilitation and Nursing on West Seneca Turnpike.
Inspection
Crenshaw Nursing Home: Dignity Violation Cited - CA
The facility's Director of Nursing, interviewed by inspectors on the afternoon of August 12, did not dispute what happened.
Inspection
Lefa Seran SNF: Care Plan Gaps for Amputee Resident - NV
Nobody wrote down how to get her there.
Inspection
Lefa Seran SNF: Weight Loss Monitoring Failures - NV
Federal inspectors cited the skilled nursing facility following an April 10, 2025 survey.
Inspection
Spokane Health & Rehabilitation: Staffing Failures - WA
A second aide, Staff W, told her to ask a manager.
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Inspection
Spokane Health & Rehabilitation: Transfer Record Failures - WA
Inspection Woodland Care Center: Allergy Record Failures - CA
Inspection Lefa Seran SNF: Vaccine Protocol Failures Affect All Residents - NV
Inspection Golden Age Manor: COVID Vaccine Records Missing - WI
Inspection North Auburn Care: Bed Hold Paperwork Failures - WA
Inspection Van Duyn Center: Narcotic Disposal Failures - Syracuse, NY