Latest reports, citations, and penalties from CMS data
She was not allowed to keep any medications in her room because staff worried other residents might access them....
The water crisis lasted anywhere from one week to a month, depending on which resident you asked....
Resident #5, whose face sheet photo showed him wearing a nasal cannula, had been receiving 3 liters of oxygen per minute since his admission....
Federal inspectors watched LVN B and CNA A enter her room to reposition her and provide incontinent care at 10:03 am....
His care plan from May 21, 2025, specifically placed him on Enhanced Barrier Precautions due to his gastric tube and leg wounds....
CNA A admitted she failed to pause Resident #1's feeding pump before lowering the bed head for care....
The resident had been admitted with a history of stroke that left them with paralysis on their left side and difficulty swallowing....
Resident #85 fell twice on the day before their death at Onondaga Center for Rehabilitation and Nursing....
The incident occurred in the facility's dining room where the two residents regularly sat together as tablemates....
Resident 7 lay in bed as Employee 2, a licensed practical nurse, completed the dressing change at 12:30 PM....
The 88-year-old woman, identified only as R1 in inspection records, had fallen twice at The Villas at Robbinsdale in mid-November....
The resident has chronic obstructive pulmonary disease, hypertensive heart disease and chronic respiratory failure....
The 72-year-old woman suffers from disorganized schizophrenia, heart failure, Alzheimer's disease, and the effects of a stroke....
On November 16, inspectors tracked an uninsulated cart carrying room trays to residents who couldn't make it to the dining room....
The August incident remained unreported for hours until evening staff discovered what had happened, according to a state inspection completed in November....
Physician records show two separate 10-day orders for Keflex 500 mg twice daily....
The nursing home administrator learned about the choking during a morning meeting the next day....
RN 1 told inspectors that without following the facility's own policy for out-on-pass procedures, staff couldn't assess the resident's safety....
The discovery at Winfield Rehab & Nursing prompted federal inspectors to interview seven staff members over two days in October....
Staff must also use gowns and gloves during high-contact care activities like changing briefs, assisting with toileting, and wound care....