San Rafael Healthcare: Resident Left With Wander Monitor - CA
The resident, identified in inspection records as Resident 1, left the facility on December 10, 2025 for a home visit....
Latest reports, citations, and penalties from CMS data
The resident, identified in inspection records as Resident 1, left the facility on December 10, 2025 for a home visit....
The inspection, conducted November 24, 2025, turned up two deficiencies at the Fairfield facility....
Two certified nursing assistants, identified in the report as CNA L and CNA D, were fired four days after the incident....
That was the scene inspectors found at the Oaks of West Kettering on the morning of November 24, 2025....
Inspectors rated the harm level as minimal or potential for actual harm....
A new company had taken over oversight of the kitchen....
Inspectors classified the problem as a pattern, meaning it was not an isolated incident....
facility on December 30, 2025, following a complaint....
Federal inspectors cited the Dallas nursing home on November 25, 2025, following a complaint investigation....
The level of harm was classified as minimal harm or potential for actual harm, and inspectors noted that few residents were affected....
When a state inspector observed the resident at 11:00 that morning, the oxygen concentrator was running at 2.5 liters per minute....
The inspector had requested the files at 12:48 p.m....
Inspectors found both residents yelling, with R4 on the floor, and both attempting to strike each other....
The November 2025 complaint inspection cited the facility under F0656, a deficiency covering the development and maintenance of comprehensive care plans....
The man, identified in inspection records only as Resident 1, had been a patient at Santa Rosa Post Acute on Hoen Avenue since April 2025....
The November 25 visit was a complaint inspection, meaning someone had contacted regulators with concerns before inspectors ever walked through the door....
The blow landed on the back of her head....
There were multivitamins with iron that had expired in October....
The overgrowth wasn't a surprise to him....
When federal inspectors visited Avir at New Braunfels in November 2025, the facility's administrator didn't dispute the condition of the building....