Inspection
Fair Haven of Forest City: Missing Care Plans - NC
One patient with chronic obstructive pulmonary disease and recurrent pneumonia had no respiratory care plan.
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Tweeten Lutheran: Hydration Denied to Parkinson's Patient - MN
The March 31 incident at Tweeten Lutheran Health Care Center exemplified a pattern federal inspectors documented throughout the day.
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Care One at Redstone: UTI Treatment Delayed - MA
examined the resident on January 26, 2026, but told inspectors she wasn't informed about the culture results at that time.
Inspection
Loyalhanna Care Center: Cold Food Violations - PA
The March 31 inspection revealed systematic problems with food temperature management at the 535 McFarland Road facility.
Inspection
Warren Manor: Van Driver Training Failures - PA
Resident R7 was taken to the hospital for evaluation and found to have no injuries through radiological testing before returning to Warren Manor.
Inspection
Mustang Park: Discharge Notice Violations - TX
The violation centered on the nursing home's failure to follow federal requirements for written discharge notices.
Inspection
Tweeten Lutheran: Lift Safety Violations Left Resident At Risk - MN
Federal inspectors observed the dangerous practice twice in two days during their April inspection.
Inspection
Harmar Village: Infection Control Failures - PA
The same inspection revealed staff left temperature monitoring logs mostly blank for another resident's personal refrigerator.
Inspection
Sunview Rehab: Resident Beat Roommate Bloody - AZ
The September 30, 2023 incident at Sunview Respiratory and Rehabilitation began when Resident #2 refused care from a certified nursing assistant.
Inspection
Loyalhanna Care: Bowel Incontinence Plan Missing - PA
The violation centered on Resident 3, whose March 13 assessment showed she was mentally sharp and independent with most daily activities.
Inspection
Loyalhanna Care Center: Care Plan Update Failures - PA
Resident 28 had used a urinary catheter for years due to an enlarged prostate that made normal urination difficult.
Inspection
Laurels of Galesburg: Late Abuse Report Filed - MI
State law requires facilities to notify authorities within two hours of discovering potential abuse.
Inspection
Beaumont Rehab: Missed Showers Leave Residents Unclean - IN
In February alone, Resident E missed scheduled showers on five separate dates: February 11, 14, and 25.
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Inspection
Charleston Healthcare: Mental Health Screening Failures - WV
Inspection Legacy on 10th Avenue: Unlicensed Nurse Worked 11 Weeks - KS
Inspection Tweeten Lutheran: Antipsychotic Safety Monitoring - MN
Inspection Warren Manor: Failed PTSD Care Plan Violation - PA
Inspection La Bella of Woodstock: Staff Verbal Abuse Violations - IL
Inspection Harmar Village: Unmonitored Psych Meds Given - PA