Latest reports, citations, and penalties from CMS data
Two residents developed advanced stage pressure injuries due to inadequate care protocols and staff oversight failures....
This lack of proper orientation poses significant safety risks for residents with visual impairments....
## Critical Mobility Equipment Failures The absence of proper mobility devices represents a significant safety and dignity concern for nursing home residents....
Direct hand contact with food can introduce harmful bacteria, viruses, and other pathogens that cause foodborne illnesses....
The family delivered these orders directly to facility staff....
During the investigation, facility staff acknowledged tracking missed alert charting notes and skilled notes through medical records audits....
This type of bathroom denial constitutes a form of neglect that can lead to serious medical complications....
These reviews serve multiple critical functions in maintaining care standards and ensuring resident safety....
According to the inspection report, the resident's oxygen saturation levels dropped to 88% and then to a critically dangerous 70%....
Additional incidents involved verbal abuse, threats, and intimidation that created an atmosphere of fear among residents....
The resident's medical history revealed years of abuse by the family member, including verbal, emotional, financial, and physical mistreatment....
The incident occurred on April 9, 2024, when LPN #1 observed the injury but made assumptions about its cause rather than following proper assessment protocols....
A medication technician who witnessed the encounter reported that the housekeeper "got in his face" and stated: **"Fuck you!...
This classification indicates systemic issues within the facility's care delivery and management systems that require ongoing monitoring and evaluation....
The patient required Sevelamer Carbonate 800 milligrams three times daily before meals to manage hypocalcemia related to kidney failure....
This suggests the current pain management approach was inadequate....
The investigation centered on Resident 47, who has dysphagia following a stroke, dementia, and a history of aspiration pneumonia....
This represents a serious breakdown in the nursing home's internal oversight systems that are mandated to protect residents....
These systems are required by federal law to continuously monitor care quality and identify potential problems before they harm residents....
More concerning, the CNA stated they were unaware that the facility even had an Abuse Coordinator position....