Latest reports, citations, and penalties from CMS data
The findings raised concerns about the facility's ability to protect medically vulnerable residents from foodborne illness and infection....
His physician's orders clearly documented full-code status with plans to discharge home....
Quality assurance programs serve as internal monitoring systems that track clinical outcomes, incident patterns, and care delivery metrics....
The resident, who had diagnoses including anoxic brain damage, hypertension, and disorientation, made statements to staff expressing suicidal thoughts....
On July 15, 2024, state surveyors found a resident lying in a fully reclined Geri-chair with a wheelchair wedged underneath the extended footrest....
R47 received nebulizer treatments four times daily with Ipratropium-Albuterol solution to manage chronic obstructive pulmonary disease and shortness of breath....
The deficiency resulted in severe weight loss, representing a significant decline in the resident's physical well-being....
This violation represents a critical failure in healthcare facility management....
Long-Term Care Ombudsmen serve as independent advocates who can investigate whether discharges are appropriate, voluntary, and in the resident's best interest....
On November 29, just four days after returning from psychiatric hospitalization, the resident told nursing staff "I want to die....
On March 24 at 5:20 PM, the resident was observed hitting her head on a wall near the dining room....
A resident, identified as R15 in inspection documents, reported to staff that they had been hit by an employee on November 5, 2024....
Staff members reported observing the male resident leaving the victim's room and adjusting his belt in the facility lobby....
## Medical Treatment Delays Beyond the behavioral care concerns, inspectors found the facility failed to provide timely medical treatment to residents....
VRE represents a significant threat in nursing home environments....
Inspectors discovered Resident 118 had both upper bed rails up when they entered the room with facility nursing staff on June 25, 2024....
Inspectors found no personal protective equipment available in his room and no signage indicating the need for enhanced precautions....
The resident had diabetes and kidney disease, conditions that placed her at moderate risk for developing additional pressure injuries....
Despite clear signage posted outside the room indicating special isolation requirements, staff and visitors failed to follow essential protective protocols....
## Residents Report Extended Wait Times for Basic Care Multiple residents provided detailed accounts of prolonged delays in receiving assistance....