Latest reports, citations, and penalties from CMS data
Any changes in a resident's condition or oxygen needs should be immediately reported to the attending physician for potential order modifications....
During the inspection, federal surveyors observed the injury measured approximately 3.8 centimeters by 2.5 centimeters under the resident's left eye....
Normal oxygen saturation ranges from 96 to 100 percent....
On August 13, 2024, inspectors observed a registered nurse hanging IV fluids for the resident without wearing the required protective gown....
The attending physician ordered a urinalysis and urine culture test to identify any infection....
Within days of admission, staff completed a PHQ-9 depression screening that revealed a score of 17 - indicating moderately severe depression symptoms....
The resident required assistance with all personal care activities including toileting, dressing, and hygiene....
The resident, who spoke only Spanish, repeatedly struggled to interact with nursing staff and access basic services....
The February 2025 inspection revealed a facility operating with dangerously inadequate staffing levels that compromised resident safety and dignity....
The dirty laundry area contained a large bin with an askew lid that was full of dirty laundry, some of which was unbagged....
Federal regulations require nursing homes to monitor residents continuously and notify physicians promptly when conditions change....
A colleague who witnessed the incident reported that the CNA used the resident's personal beard shaver to perform the grooming....
## Medication Storage and Safety Failures Federal inspectors documented serious medication management issues throughout the facility....
The facility holds monthly QAPI meetings with quarterly participation from the medical director and pharmacist, as required by regulations....
The altercation began when the dementia patient took a book belonging to their roommate, who attempted to retrieve it....
This represents a concerning pattern of oversight failures that directly impacts resident care standards....
The observation occurred in the evening when the CNA was moving the resident in the specialized mobility chair....
After removing the old dressing and cleaning fecal matter from the resident's anal area, the nurse changed gloves but failed to sanitize hands between steps....
The violation came to light when another nursing assistant reported seeing the post on the offending employee's TikTok account....
The nurse had set the IV flow regulator to 200 ml/hr instead of the prescribed 135 ml/hr - a significant deviation that could cause harmful side effects....