Latest reports, citations, and penalties from CMS data
The deficiency, tagged F0609, was classified as causing minimal harm or potential for actual harm, and affected a small number of residents....
When inspectors visited the facility on Curry Road in September 2025, they checked meal service for 12 residents....
A trained nursing assistant or licensed nurse was supposed to be assigned to supervise transportation when supervision was deemed necessary....
All of it was in rooms where vulnerable residents lived....
The violation, tagged F0656, was cited at a level of minimal harm or potential for actual harm, and affected some residents....
The declaration was lifted the following afternoon, at 12:08 p.m....
The facility's census hit 61 on September 4, 5, and 6 of 2025....
Federal inspectors documented all of this during a complaint inspection completed September 12, 2025....
The finding came nearly a year after the vacancy began....
The resident, identified in inspection records only as R1, had an active order requiring staff to notify a physician any time blood glucose climbed above 250....
The tray line was supposed to start at 11:15 a.m....
The inspection, completed September 12, 2025, was triggered by a complaint....
The wound went unrecorded on the resident's initial skin assessment, completed the day she was admitted on August 25, 2025....
She did not write a single word in the resident's chart....
"I still picture her," the staff member told inspectors during interviews conducted on August 22, 2025....
"I was so angry," E32 told inspectors....
The elopement itself is what triggered the inspection....
What followed was a cascade of complaints that inspectors documented one resident at a time....
The incident happened on July 6, 2025....
The incident happened on September 9, 2025, at Mulder Health Care Facility, a nursing home on Leonard Street in West Salem....