Latest reports, citations, and penalties from CMS data
Federal inspectors found staff transferring residents without gait belts during a September complaint investigation....
The investigation began when corporate auditors discovered the manager was not following proper procedures for distributing resident funds....
The incident occurred on the evening of October 19 when Resident #2 stomped or kicked Resident #1's foot at Avir at Overton....
Federal inspectors found the facility failed to adequately prevent the resident-to-resident altercation despite staff awareness of the behavioral issues....
But when federal inspectors reviewed the records in November, they found gaps in documentation and a facility that couldn't produce basic intake records....
Ridgeview Skilled Nursing Facility admitted the patient in September with a fractured sacrum and neuromuscular dysfunction of the bladder....
The patient experienced shortness of breath during exertion, at rest, and while lying flat....
Instead, the nursing assistant known as "CNA A" left the resident unattended....
The November 9 assault was the second documented incident in two weeks....
At 11:13 a.m., 4:15 p.m., and 4:45 p.m., they found the same brown and yellow removable substance on the toilet seat and metal safety rail....
But when she fell again on October 30, staff discovered they had been disregarding the safety protocols entirely....
The weight tracking failures at Pembroke Center came to light during a federal complaint investigation completed in November....
The sexual abuse occurred at Medilodge of Montrose, where Resident #114 put his hand down Resident #105's shirt and touched her breasts....
The resident said the guard "curls his lips and mean mugs" them, and "puts hand on the gun in front of" them as intimidation....
Four additional days had no documentation recorded for the evening shift at all....
The medication error occurred at The Cove of Cascadia on November 20, when RN #2 prepared to give Resident #9 their prescribed insulin injection....
The resident had severe cognitive impairment according to facility assessments....
The resident had been placed on the intensive monitoring protocol after being identified as high-risk for falls....
Federal inspectors observed the violations during wound care procedures at Mesa Vista Inn Health Center in October....
The resident, a stroke survivor who has lived at the facility for two years, told inspectors on October 20 that staff had left one of the cans in his room....