Latest reports, citations, and penalties from CMS data
The resident, identified in inspection records only as R1, had two inhalers on her, a Ventolin and a Dulera....
When the dentist, identified in inspection records only as V13, returned to examine the same resident on August 27, 2025, he found what that delay had cost....
The incident, captured on video, was the subject of a complaint inspection completed September 11, 2025 at the facility on Walnut Street in West Philadelphia....
The machine's own posted instructions say to report to a supervisor if the wash temperature drops below 120 degrees Fahrenheit....
"We weren't there to hear what they presented to the residents or who signed what," the administrator said on September 9, 2025....
The resident noticed the wallet was missing and pulled up bank account records on a personal computer....
Inspectors documented that finding during a September 2025 complaint inspection, and it was one of the cleaner discoveries they made that day....
Immediate jeopardy is the most serious finding federal inspectors can make....
The feeding pump delivering Fibersource HN, a liquid nutritional formula, was not infusing the full prescribed amount....
that afternoon, inspectors watched the maintenance director step into the kitchen without stopping at a hand-washing sink....
Staff at Saint Luke Lutheran Home logged the problem on multiple days across multiple months: no hot water today....
Nobody told him it meant a new doctor and a new nurse practitioner....
The deficiency, cited under F0604, covered the facility's handling of physical restraints and side rails....
The resident, identified in inspection records only as Resident R1, was cognitively intact....
The problems were specific enough that the facility's own corrective action plan laid them out in detail....
That is what inspectors documented at Laurels Peak Care & Rehabilitation Center following a complaint inspection completed September 11, 2025....
The facility already knew about the broken hand before asking the nurse to work....
In the facility's training bathroom and shower room, inspectors found significant dirt built up between the floor tiles....
It had been cited for maintaining a safe, clean, and homelike environment in both of those years as well....
Law enforcement and EMS were called, and R1 was transported to a hospital for psychiatric care....