Latest reports, citations, and penalties from CMS data
"They are on all the time," the aide, identified in the inspection report as V10, said during a visit on August 26....
The numbers from the main kitchen tell part of the story....
The incident happened on the morning of July 11, 2025, at Harborview Rome, a nursing facility in Rome, Georgia....
The incident involved a man identified in inspection records only as R1 and a maintenance employee identified as Maintenance U....
He told her the facility didn't have them....
What they found in the medical records was a pattern of wounds discovered, noted, and then largely ignored....
He had been hired through an employment agency, which provided documentation showing an active Ohio Nursing Home Administrator license....
The aide, identified in inspection records as Employee E14, sent the email on August 23, 2025, at 5:53 in the evening....
She was dependent on staff for every activity of daily living....
The facility's own standard calls for four to five aides per shift on that unit....
The facility's electronic call light system had been failing for months....
On the day he was found unresponsive and without a pulse, none of those measures were attempted....
The Director of Maintenance told the inspector that staff first flagged the damaged ceiling tile about three weeks before the inspection, on a Friday....
The inspection, completed September 4, 2025, was triggered by complaints and resulted in a citation for actual harm....
Inspectors visited Southwood Healthcare Center on September 4, 2025, responding to a complaint....
The inspection at The Villa at Green Lake Estates, triggered by a complaint, focused on the care of a single resident identified in records as R103....
The letter described a problem with how she interacted with residents....
She had been at the facility less than a week when inspectors arrived on September 2, 2025....
The problem was in how nurses transferred medication orders into the facility's electronic records system when patients were admitted or readmitted....
A licensed practical nurse had stepped away for a break at 8:55....