Ellison John Transitional Care: Care Plan Violations - CA
The violation was classified as causing minimal harm or potential for actual harm, and affected a limited number of residents....
Latest reports, citations, and penalties from CMS data
The violation was classified as causing minimal harm or potential for actual harm, and affected a limited number of residents....
The deficiency affected a small number of residents....
Federal health inspectors arrived on November 25, 2025, and found what the complainant apparently suspected....
When inspectors cite a facility under this standard, it means the environment itself has become a problem....
The inspection, completed November 25, 2025, was triggered by a complaint....
Inspectors classified the deficiency as isolated, meaning it did not affect every resident at the facility....
The inspection at Focused Care of Gilmer, completed November 25, 2025, was triggered by a complaint....
The discrepancy covered Residents 9, 19, 23, 4, 13, and 44....
The inspection report noted that residents were not afforded proper privacy protections during wound care procedures....
That is the arc of a complaint inspection at St....
The nurse, identified in inspection records as RN 1, had stepped out of the room on December 18, 2025, to retrieve lubricant needed to complete the procedure....
No change of condition assessment....
The nurse's own words were the most direct evidence inspectors gathered....
Inspectors classified it as a pattern, not an isolated incident....
The inspection report, filed following a complaint investigation completed November 25, 2025, documents the same pattern across 19 separate dates....
The finding came out of a complaint investigation conducted in November 2025....
Glucagon is the emergency medication kept in nursing facilities for exactly this situation....
The "many residents affected" classification is not the smallest category available to inspectors....
The violation was one of 22 deficiencies cited during the inspection....
Federal health inspectors visited John J Kane Regional Center-GL on November 25, 2025, responding to a complaint....