Inspection
Hillcrest Commons: Rehab Therapy Gap Left Resident at Risk - MA
Federal inspectors documented the gap during a survey completed March 25, 2025.
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Shelton Health and Rehab: Medication Delays and Gaps - WA
The resident who needed that medication, an inhaler called Breo Ellipta prescribed to treat asthma, had already gone without it for two days.
Inspection
Bonterra Transitional Care: Privacy Violations Found - GA
Inspectors documented two separate incidents on the morning of March 10, 2025, both involving the same resident, identified in inspection records only as R6.
Inspection
Villa Manor Care Center: Staffing Failures Leave Residents Soiled - CO
The unit housed more than forty residents.
Inspection
Sunset Park Healthcare: Abuse Reporting Failures - CA
The inspection identified deficiencies in how the facility handled resident-to-resident altercations, a category of incident that can represent abuse.
Inspection
Loyalhanna Care Center: Nursing Services Violations - PA
The citation, recorded during a health inspection completed March 20, 2025, was issued under Pennsylvania state code governing nursing services.
Inspection
Shelton Health and Rehab: Ombudsman Notification Failures - WA
Without notification, advocates had no way to do either.
Inspection
Bonterra Transitional Care: Pureed Diet Failures - GA
Inspectors observed the preparation on March 11, 2025, at 1:54 in the afternoon.
Inspection
Monrovia Post Acute: Missing Property Complaint Ignored - CA
According to her most recent assessment, dated February 23, 2025, she had no cognitive impairments.
Inspection
Bonterra Transitional Care: Dental Care Neglect - GA
What they found was not a complicated system failure.
Inspection
Shelton Health and Rehabilitation: Diagnosis Error - WA
The form shapes what services a resident is offered and what follow-up evaluations get triggered.
Inspection
New London Sub-Acute: Medication Delays for Dementia Patients - CT
Resident 72, whose diagnoses included dementia, hypertension, and failure to thrive, had a physician's order requiring Hydralazine 100 mg three times a day.
Inspection
Loyalhanna Care Center: Repeat Violations Ignored by QA - PA
None of those findings were new.
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Inspection
Castle Manor Nursing & Rehab: QAPI Monitoring Failures - CA
Inspection Cedar Crest Nursing: Equipment Safety Failures - CA
Inspection Geneva Lake Manor: Restraint Assessment Failure - WI
Inspection New London Sub-Acute: Falsified Incident Records - CT
Inspection Bonterra Transitional Care: Food Safety Failures - GA
Inspection Villa Manor Care Center: Staffing Failures Leave Residents Soiled - CO