Latest reports, citations, and penalties from CMS data
Resident #1 has diagnoses of aggression and behavioral issues, takes medication for these conditions, and regularly grabs food and drinks from staff members....
The resident told inspectors his breakfast was "lukewarm and almost cold" on December 22....
Resident 1 told inspectors on September 10 that Resident 2 "could hear him yelling and screaming at the staff" from the room across the hall....
The resident, identified only as Resident 1, scored just 3 out of 15 points on a standardized cognitive assessment....
Resident 1 had been admitted for rehabilitation following a hospitalization....
Resident 1 arrived at the facility believing it was 1974 and that they had just been discharged from the military....
Federal inspectors found six of 30 rooms they examined on December 22 had blinds so damaged that beds could be seen from outside the facility....
Resident 3 was readmitted to the nursing home on October 13, 2025, according to a nursing note written at 6:36 p.m....
The beverages were being served to Resident #16, the facility's only patient requiring thickened liquids due to swallowing difficulties....
The incident occurred at 10:57 p.m....
CNA 399 discovered the two residents in the common area after finishing care with another patient....
Resident 58 was supposed to have grab bars on both sides of his bed to help him roll from side to side during personal care....
The December 12 assault at Double Tree Post Acute Care Center involved two residents with vastly different cognitive abilities....
Her physician had specifically ordered staff to hold those medications if she developed diarrhea....
The November incident left the resident feeling like "nothing and a nobody" to staff, according to federal inspection records....
LN 1 took a bag of cat food that was sitting on top of a chair....
CNA A was positioned in the dining room when Resident 1 walked in and grabbed Resident 2's arm....
The resident presented a complex infection risk profile....
Resident 43 told inspectors on November 25 that staff hadn't touched her surgical wound since the previous week....
But Certified Nurse Aide #5 chose not to follow the protocol....