Inspection
Arbor Glen Care Center: Infection Control Failures - CA
The practice at issue is called Enhanced Barrier Precautions, a layer of infection control that goes beyond ordinary handwashing and glove use.
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Geneva Lake Manor: PASARR Screening Failure - WI
The screening, called a Pre-admission Screening and Resident Review, or PASARR Level I, is supposed to happen at admission.
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Embassy of Wyoming Valley: Dirty Windows Violation - PA
It became part of the official federal deficiency record.
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Crenshaw Nursing Home: Missing Oxygen Care Plan - CA
End-stage renal disease means the kidneys have failed permanently.
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New Riverdale Rehab: Drug Monitoring Failure - NY
The chain of events started in early February.
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Ingleside Manor: Incomplete Abuse Investigation - Mount Horeb, WI
The incident happened on December 19, 2024.
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The Hills Post Acute: Dialysis Access Failures - CA
The patient, identified in inspection records as Resident 816, depended on an arteriovenous shunt in the left upper arm for dialysis access.
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Embassy of Wyoming Valley: Care Plan Failures - PA
The Director of Nursing confirmed it herself.
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Bonterra Transitional Care: Behavioral Health Training Gaps - GA
A physical therapy assistant with three years at the facility said his training had been dementia-focused and he did not recall any mention of PTSD.
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Maclay Healthcare Center: Knife Attack Investigation Failures - CA
Not how it got into the facility.
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Skyline Healthcare Center: Abuse Report Delayed - CA
The incident happened on the morning of March 21, 2025, sometime between 7 and 7:30 a.m.
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Geneva Lake Manor: Staffing Data Hidden for 18 Months - WI
The posting had apparently been missing, in any meaningful sense, for 18 months.
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Carmel Manor: Resident Left Unmonitored All Night - KY
The family of the resident, identified in inspection records as R24, had installed surveillance in her room.
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Bonterra Transitional Care: Pain Management Failures - GA
Inspection Carmel Manor: Immediate Jeopardy Fall Safety Failures - KY
Inspection Glendora Grand: Wound Missed Until Hospital Transfer - CA
Inspection Bonterra Transitional Care: Missing Oxycodone Unreported - GA
Inspection Geneva Lake Manor: No Charge Nurse on Duty Shifts - WI
Inspection Geneva Lake Manor: Medication Monitoring Failures - WI